Patient Forms

Following are our patient information sheets and forms.  If you have any problem with accessing these pdf documents, please let us know.

New Client Registration Forms
Nuevos formularios de registro de clientes
Please print, complete and bring the following forms to your first visit:
Por favor imprima, complete y traiga los siguientes formularios a su primera visita:

1. Demographics Packet  | Paquete demográfico
2. Consent to Treatment | Paquete de Consentimiento para tratamiento
3. Release of Information | Autorización Para la Divulgación de información
4. Reminder Release | Recordatorio para Citas
5. Technology Consent for Therapy  | Consentimiento de la tecnologia en terapia


Other Information (Please read):
Otra información (Por favor, lea):

New Client Information | Información de nuevo cliente

Notice of Privacy Practices  | Aviso de prácticas de privacidad

Complaint ProcessComplaint Form  |  Proceso de quejas y formulario de quejas





No Surprise Act Statement (English Version) | No Surprise Act Statement (Spanish Version)
Privacy Policy | Notice of Privacy Practices | Terms of Use

On June 11th, our current electronic health system will transition to a new and advanced system to better serve you: Athena. Prior to the transition date, you will be sent a registration link to create a new patient account in Athena. If you have any immediate questions or concerns, please do not hesitate to contact your therapist, or call our office to speak to a staff member.