Forms

Adults

Mental Health Intake Form – download here

Adult Needs & Strength Assessment (ANSA) – download here

Brief Addiction Monitor (BAM) – download here

Generalized Anxiety Disorder-7 (GAD-7) & Patient Health Questionnaire (PHQ-9) – download here

Informed Consent (IC) – download here

Medication Checklist – download here

Notice of Privacy Practices (NOP) – download here

Payment Authorization – download here

Telehealth Consent – download here

Referral Form – download here

No Show Policy – download here

---

Children 16 & Below

Mental Health Intake Form – download here

Adverse Childhood Experience Questionnaire (ACE) – download here

Generalized Anxiety Disorder-7 (GAD-7) & Patient Health Questionnaire (PHQ-9) – download here

Informed Consent (IC) – download here

Medication Checklist – download here

Notice of Privacy Practices (NOP) – download here

Payment Authorization – download here

Telehealth Consent – download here

Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) – download here

Referral Form – download here

No Show Policy – download here