Downloadable Forms

 

For Child Assessment:

1.  Appointment Letter

2.  Child History Form Print, complete, and bring with you to the appointment

3.  Map

4.  Privacy Notice

 

For Adult Assessment:

1.  Appointment Letter

2.  Adult History Form Print, complete, and bring with you to the appointment

3.  Map

4.  Privacy Notice

 

For Adult Therapy:

1.  Treatment Services Contract Print, sign, and bring with you to the appointment

2.  Adult History Form Print, complete, and bring with you to the appointment

3.  Map

4.  Privacy Notice

 

For Referring Agency:

1.  Referral Form

2.  Release of Information

3.  Brochure for Neuropsychological Evaluations (Dr. Jennifer Huffman)