Forms
Find the forms you need below
Printable Forms
Below you will find the new patient paperwork to be completed and returned during your initial appointment with Jennifer.
Forms
Adult Treatment Forms
| Registration Form | Download |
| Treatment Services Agreement | Download |
| Physician Letter and Release of Information | Download |
| Acknowledgment of Notice of Privacy Practices | Download |
| Notice of Privacy Practices* | Download |
| * - This form is for your information only, and does not have to be printed, signed, and returned. |
Adolescent Treatment Forms
| Registration Form | Download |
| Treatment Services Agreement | Download |
| Consent for Treatment of an Adolescent | Download |
| Physician Letter and Release of Information | Download |
| Acknowledgment of Notice of Privacy Practices | Download |
| Notice of Privacy Practices* | Download |
| * - This form is for your information only, and does not have to be printed, signed, and returned. |