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Forms


Make a Referral: Use this form to make a referral to our practice. Self-referrals are welcome!


School Information Form: This form is intended for teachers who have students completing a psychoeducational or neuropsychological assessment in our office.


Therapy Consent Form - Adult: Complete this form if you or another adult will be seeing one of our psychologists for therapy.



Therapy Consent Form - Children and Adolescents: Complete this form if you are the parent or legal guardian of a child who will be seeing one of our psychologists for therapy.



Personal Health Information Act (PHIA): This document provides general information about the Personal Health Information Act (PHIA) and how we adhere to it in our office.