Please download and complete forms prior to your visit

 

2016 Consent to Treat in Cases of Divorce or Shared Custody

2017 HIPAA Notice

2018 Patient Services Agreement

2018 Adult Intake - All Forms in One

2018 Adult Intake- Vanessa Berens All Forms in One

2018 Family Intake- Casey Blandford All Forms in One

2018 Family Intake- Vanessa Berens All Forms in One

2018 Individual Intake- Casey Blandford All Forms in One

2018 Individual Intake-Vanessa Berens  All Forms in One

2018 Couples Intake- Casey Blandford

2018 Pediatric Intake - All Forms in One

2018 Pediatric Intake - Vanessa Berens All Forms in One

Authorization To Release Information

CO Paperwork.pdf

Higley Intake Forms

Sarah Bald Agreement

Casey Blandford Agreement