Forms

Choose the intake paperwork that is appropriate for the services you intend to receive long term as well as the Telehealth Consent Form. There is an additional Release of Information form available if needed.

Please complete the intake paperwork before your initial visit.

• Intake form
• School-based therapy intake form
• Telehealth Consent form
• Release of Information form

The following forms are for those who will be attending/resuming in-person sessions. whether in the office or through BHIS at your home. This form must be completed before holding in-person sessions:

Office Therapy Services

• Informed Consent for In-Person Services

BHIS Services

• Informed Consent for In-Person BHIS Services