Please download the forms below and save them to your computer, phone or tablet.. These are fillable PDF forms and you should be able to fill them up, sign and email back to us.
-
Intake Package For Adults:
This package contains all the forms needed to start Online Therapy. Please
take your time to fill them in detail and email to us at your earliest
convenience.
-
Intake Package for Children
and Adolescents:
This package contains all the forms needed to start Online Therapy. Please
take your time to fill them in detail and email to us at your earliest
convenience.
-
Intake Form for Adults:
Please fill out this form to provide us with the information about yourself.
-
Intake Form for Children and
Adolescents:
Please fill out this form to provide us with the information about yourself.
- HIPAA
Notice of Privacy & Health Information Practices: This notice describes
how information about you may be used and disclosed and how you can get access to
this information. Please review it carefully.
- Patient Therapist Agreement: This form
describes our policies about appointments, payments etc.
We analyze the information provided by you about
your needs and requirements on our intake form. Therefore, we request
you to download the form to your device and take your time to provide
detailed information about your concerns. Please follow the instructions
below to download the forms:
Adobe
Reader for Android Devices
Adobe
Reader for iOS Devices
Adobe
Reader for
Computer
- If you are using a browser on a computer/laptop, please go to the "Forms" page on our website and scroll to the relevant form. Right click on the link to the form and select "Save Link as" option to save the form to your device.
- On your Phone or tablet please go to the "Forms" page on our website and scroll to the relevant form. Click on the Form link and use the option to open the file in Adobe PDF Reader. You can download the app from the link given below:
Adobe
Reader for Android Devices Adobe
Reader for iOS Devices Adobe
Reader for
Computer