Helpful Forms

If you are a new patient, please complete the following forms and bring them to your first appointment:

• Registration Form
• Background and Current Concerns

If you would like me to coordinate care with another provider (for example, a psychiatrist or primary care physician) or your child's school, please complete this form to authorize the disclosure of protected health information:

• Authorization to Disclose Protected Health Information

If input is needed from your child's teacher, please provide the teacher with the following form:

• Teacher Information Form

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