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Forms

Helpful Forms

If you’re a new client, please contact your therapist so they can email you our intake paperwork using DocuSign. If for any reason you are not able to or are not comfortable using DocuSign to fill out and sign paperwork, you may print them and fill them out using the links below. You can also find links to common scales and assessments that we use in therapy.

Intake Paperwork:

WAVE Confidentiality

WAVE Notice of Privacy Practices

WAVE Client Information Form

WAVE Consent for Treatment

WAVE Fees and Payment

WAVE Permission to Text/Email

WAVE Credit Card Authorization

WAVE Benefits Disclosure

Optional Documents:

WAVE Consent for the Treatment of a Minor

WAVE No Secrets Policy

WAVE Permission to Audio/Video Record

Individual Problem Checklist

Couples Satisfaction Questionnaire

WAVE Additional Information Questionnaire

BECK Depression Inventory

BECK Anxiety Inventory

WAVE Consent for Neurofeedback

If you would like your therapist to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
WAVE Request for Release of Info

Note: To download Adobe Acrobat Reader for free, click here.