new patient forms

• Adult Psychotherapy Intake Form, Older Adult Intake, or  Child Intake Form,
  

• Adult Intake Questionaire

• Therapy Cancellation Policy

Please take a moment to familiarize yourself with our HIPAA/Psychotherapy Agreement Form, as well as the PA Notice Form.

If you would like your care coordinated with another provider (for example, your psychiatrist or primary care physician), complete this form to authorize release of psychotherapy information.

Personal Choice or Keystone HealthPlan East clients, managed by Magellan, should complete this form as well.

Carebridge EAP clients should bring this form to the first session.