Forms

If you are coming in for your first appointment, please print and complete these forms:

Substance Use Assessment Form

Patient Info form

Patient Communication Form

Client Intake Form

Office Policies and Treatment Consent (for all providers except those listed below)

Office Policies and Treatment Consent for Josh Harper

Office Policies and Treatment form for Chase Kerrey

Patient Insurance Information

Authorization to Bill Credit Card

What's New

Newest Intensive Outpatient Program Track: OCD/Anxiety Disorder IOP

Newest Intensive Outpatient Program Track: OCD/Anxiety Disorder IOP OCD/Anxiety Disorder IOP Who: Boys and Girls, ages 12-17. This track is open enrollment (you may join at any time). What: Small group format good for adolescents who are struggling with extreme social phobia, extreme fears,..

Chase Kerrey and Sam Lample Present at the 45th Annual Southwestern School for Behavioral Health Studies

The 45th Annual Southwestern School (SWS) for Behavioral Health Studies conference will once again be held at Loews Ventana Canyon, August 18 – 22, 2013, in Tucson, Arizona. This year’s theme is: Embracing Recovery and Wellness –Where Hope Stems from Within. August 18, 2013..

Upcoming Events

Newest Intensive Outpatient Program Track: OCD/Anxiety Disorder IOP
Newest Intensive Outpatient Program Track: OCD/Anxiety Disorder IOP OCD/Anxiety Disorder IOP Who: Boys and Girls, ages 12-17. This

Chase Kerrey and Sam Lample Present at the 45th Annual Southwestern School for Behavioral Health Studies
The 45th Annual Southwestern School (SWS) for Behavioral Health Studies conference will once again be

Man-Makers Group
Who: Teen guys, ages 13-17. Group limited to 8 members. What: Topics to be covered include: Social & relationship

DBT Group for Adolescents
DBT Group for Adolescents Who: Male and Female Adolescents, ages 13-17. Group is open enrollment (you