Intake Forms (please complete and bring to first session)
Registration Form (all clients)
Client Services Agreement (all clients)
Adult Questionnaire (for adult clients to complete. If couples therapy, both adults complete their own forms)
Notice of Privacy Practices (Read only-no signature needed)
Authorization to Release/Obtain Protected Health Information Form (recommended to coordinate care-allows us to speak with teachers, health care professionals etc...)
Separated/Divorce Agreement Form (required if client is a minor and/or a divorce/separation has occurred)
Registration Form (all clients)
Client Services Agreement (all clients)
Adult Questionnaire (for adult clients to complete. If couples therapy, both adults complete their own forms)
Notice of Privacy Practices (Read only-no signature needed)
Authorization to Release/Obtain Protected Health Information Form (recommended to coordinate care-allows us to speak with teachers, health care professionals etc...)
Separated/Divorce Agreement Form (required if client is a minor and/or a divorce/separation has occurred)
*These forms are not to be reproduced, copied or altered without the expressed written consent of Brandon Area Psychology Associates, LLC