You are welcome to email me the forms. E-mail is considered HIPPA compliant as I use Google Workspace and have a BAA agreement with this service. You may also mail the forms to my office at the Lawrence address. If services are in person, bring the forms to your first office visit. I will need signed copies of the General Informed Consent and the New Client Questionnaire for your first intake session.
Read and sign the following:
If you are a Medicare beneficiary please read and sign this: MedicareContractForm
If you need me to speak with other providers to coordinate care ROI.Form
ParentingExtremeTeenClassConsent
If you are a parent of an adolescent you will may find these forms more friendly for your needs:
Adolescent.ParentQuestionairre (PDF)
Adolescent.ParentQuestionairre (Word Document)