New Client Forms

If you are a new client, or you have not been seen at our clinic for over 6 months and have been asked to complete new client paperwork, please see the forms below.  You can click directly on the text below to open the document in a new window and complete.

Please note, unless you have Adobe Acrobat Pro, you may not be able to save these files.  In most cases, you will need to complete them and print them off.  Then you can either fax, scan and email, or mail them back to us prior to your appointment.

  1. New Client Intake Forms (must complete all pages and sign the first two pages)
  2. Mood Survey (only for clients seeing Sue Gruen – not currently available on our website, check back later)
  3. Informed Consent (please complete even if doing telehealth)
  4. Telehealth Consent
  5. Fee Agreement
  6. Client Rights and Grievance (only for your records, please do not send in)