STEP 1

STEP 1

Please print, fill out, and bring these forms with you on your first visit:

Intake Demographic Form

PHQ-9 and PHQ-A

OUTCOME (Adult & Child)

Questionnaire for DA

Confidentiality, Disclosure and Billing

TeleHealth Consent

New Client Survey Open Access

STEP 2

STEP 2

Please read the following information:

Welcome Letter

HIPAA-Notice-of-Privacy-Practices

Client Rights

Client Grievance Procedure

Client Code of Conduct

Transmission of and Exposure to HIV, Hepatitus and Tuberculosis