Forms

Adult Information and Consent to Treatment

For persons 18 years of age or older.

Child Information and Consent to Treatment

For persons under 18 years of age.

Consent to Release Information

For all clients.

Credit Card Authorization Form

Developmental History Form - All Clients

Developmental History Form

For all clients. Please fill out this form before your clinical interview.

Custody Consent Forms

Sole Custody Consent to Treatment

For sole-custody parents or guardians of children under 18 years of age.

Joint Custody Consent to Treatment

For joint-custody parents of children under 18 years of age.

Under 6 Years Old Anxiety Questionnaires

PROMIS - Adapted

PROMIS - Adapted Scale. Complete this form only if requested.

Preschool Anxiety Scale (PAS)

Preschool Anxiety Scale (PAS). Complete this form only if requested.

Autism Spectrum Disorder Questionnaires

ASDS-R Adult Form

ASDS Revised Adult Diagnostic Scale. Complete this form only if requested.

ASDS-R Child Form

ASDS Revised Child Diagnostic Scale. Complete this form only if requested.

GADS-R Adult Form

GADS Revised Adult Diagnostic Scale. Complete this form only if requested.

GADS-R Child Form

GADS Revised Child Diagnostic Scale. Complete this form only if requested.