Helpful Forms

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 
Child Registration Form New Mexico 
Adult Registration Form
Adult Registration Form New Mexico
Child Information Form 
Child Information Form New Mexico
Adult Information Form 
Adult Information Form New Mexico
Informed Consent for Treatment 
Informed Consent for Treatment New Mexico
Covid-19 Safety Measures Agreement
Release of Information Form 
Release of Information Form New Mexico
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.