If you are a new client, please complete the appropriate following forms and bring them to your first appointment or upload the completed forms through the Simple Practice client portal. Your professional will inform you about which forms need to be completed.
Child Registration Form
Adult Registration Form
Child Information Form
Adult Information Form
Informed Consent for Treatment
Covid-19 Safety Measures Agreement
Release of Information Form
Getting Started with Telehealth
Collaborative Mental Health/Family Specialist/Divorce Coach Agreement
Coparent Counseling Agreement
If you would like to coordinate care with a school and/or other provider (e.g., pediatrician, psychiatrist, primary care physician, etc.), please complete this form to authorize release of information: Release of Information/Consent Form
Note: To download Adobe Acrobat Reader for free, click here.