STEP 1

STEP 1

Please print, fill out, and bring this form with you on your first visit:

Demographic Information

STEP 2

STEP 2

Please read the following information:

Welcome Letter

Agency Privacy Notice for Clients

Client Grievance Procedure

Client Code of Conduct

Transmission of and Exposure to HIV

OTHER FORMS

OTHER FORMS

 Open Access Form

 Health History Questionnaire

 Patient Health Questionnaire

 Adult Outcomes

 Child Outcomes