Forms

You may download our patient forms and fill them out in advance to save time when you come in for your first visit.  If you’d like to send in advance, please email completed forms to beyondhealing88@gmail.com

Download PDFs

Forms Required For

Child/Adolescents:

  • New Patient Form
  • HIPPA
  • HIPPA Acknowledgment
  • Information and Financial Policy
  • Couples Intake Form (2, one for each couple)

Couples:

  • COVID Measures
  • New Patient Form
  • HIPPA
  • HIPPA Acknowledgment
  • Information and Financial Policy
  • Client – About You

Individuals:

  • COVID Measures
  • New Patient Form
  • HIPPA
  • HIPPA Acknowledgment
  • Information and Financial Policy
  • Child & Adolescent Intake Form