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The following forms are here to help you get started. Please download and look them over, so that your first appointment will be productive.
- Teen and Child Infomation Form
- Teen and Child Informed Consent
- Teen and Child Developmental History
- Teen Symptoms Questionnaire
- Female Hormone Questionnaire
- Notice of Privacy Practices
- Private Practice Policies
- TEMPORARY PARKING PASS
If you think that there is a possibility that your child or teen suffers from anxiety or depression, please him/her fill out these forms and return them to me at his/her appointment.
If there is a teacher, physician, psychiatrist, former therapist or anyone else that might be helpful in your child/teen’s assessment or treatment, please fill out this form for each individual to and return it to me.
If there is an administrator, teacher, physician, psychiatrist, former therapist or anyone else that you would like me to be able to communicate with on behalf of your child’s/teen’s treatment, please fill out this form and return it to me.
