Counseling and Psychiatric Services for Adolescents and Young Adults

Forms

If you are coming in for your first appointment, please print and complete these forms:  Substance Use Assessment Form 2.4.12 Patient Info form  Patient Communication Form Client Intake Form  Office Policies and Treatment Consent  Office Policies and Treatment Consent for Josh Harper  Office Policies and Treatment form for LAC/ LMSW  Patient Insurance Information  Authorization to Bill Credit Card