Please download and print the forms below needed for client registration.

If you are unsure of any forms, please wait to sign. Your therapist will review all of these forms with you on your first visit.

Client Registration Forms

• Outpatient Services
  • Emergency Medical Information (pdf)
  • Financial Policy (pdf)
  • Client Rights & Responsibilities (pdf)
  • Notice of Privacy Practices (pdf)
  • Client Orientation & Receipt of Privacy Practices (pdf)
  • Authorization for Release of Information (pdf)
  • Consent for Treatment (pdf)
• Intensive In-Home Services
  • Emergency Medical Information (pdf)
  • Financial Policy (pdf)
  • Client Rights & Responsibilities (pdf)
  • Notice of Privacy Practices (pdf)
  • Client Orientation & Receipt of Privacy Practices (pdf)
  • Authorization for Release of Information (pdf)
  • Consent for Treatment (pdf)
• Body-Mind-Spirit Services
  • Mind-Body-Spirit Intake (pdf)