Intake Forms (electronic) will be emailed to you when scheduling your initial visit.
- If you have not received them, please email: email@example.com.
- The forms will be sent from: Adobesign@adobesign.com (you may need to search junk mail, or add to your contacts)
If you prefer to print, sign, scan and return (to firstname.lastname@example.org), additional links can be found below.
Intake Forms for Initial Visits
Demographic Form and Policies (required before first visit)
Medication Consent Forms (if you are prescribed a medication)
Release of Information Forms (for communication with your providers, or sharing your medical information)
Telehealth Consent Form (required for anyone having Telehealth visits)
Assessment Tools and Scales
PTSD Checklist for DSM-5 (PCL-5)