New Client Forms Required for Minors

Applicable for all clients 17 years old or younger

• Client Information Form
• Insurance Information Form
• Fee Schedule for Services
• Credit Card Authorization Agreement 2010
• Child Developmental History
• Child Supplementary Information
• Teacher Rating Scale

New Client Forms Required for Adults

Applicable for all clients 18 years old or older

• Client Information Form
• Insurance Information Form
• Fee Schedule for Services
• Credit Card Authorization Agreement 2010
• Adult Supplementary Information

Group Therapy Forms: 

• TOPS Middle & High School Background Form
• TOPS Pre-College/College Seminar Background Form

Click here for more information on TOPS

Other Forms:

• Credit Card Authorization Agreement 2010
• Release of Information