Child/Adolescent Forms
Child/Adolescent Forms
If you are a new family, please complete the information under New Client Information.
If you are a new family, please complete the information under New Client Information.
Please read the Child/Adolescent Consent for Services.
Please read the Child/Adolescent Consent for Services.
Please read Notification of Primary Care Physician.
Please read Notification of Primary Care Physician.
Please read Privacy Practices.
Please read Privacy Practices.
Clients under the age of 18, please complete the Child/Adolescent Personal History.
Clients under the age of 18, please complete the Child/Adolescent Personal History.
If the child is old enough to complete the packet alone, please let them do so.
If the child is old enough to complete the packet alone, please let them do so.
The Personal History can also be emailed prior to your appointment.
The Personal History can also be emailed prior to your appointment.
Please bring the signed Adolescent Consent Form with you to your first appointment.
Please bring the signed Adolescent Consent Form with you to your first appointment.
These forms can be downloaded below.
These forms can be downloaded below.