Forms

INTAKE FORMS – Must be completed prior to 1st appointment 

Adult Intake Fillable

Minor Intake Fillable

[Intake packets may look slightly different than above if you schedule with us and fill out additional paperwork through our online documents portal.]

Consent for Release of Information (ROI)

Credit Card Authorization

Telehealth Signature Form

Insurance Verification Form Flow Chart

COVID-19 Screening Form

Covid Acknowledgement of risk

Soul Work Counseling HIPAA Document

Social Media Policy

Patients’ Rights and Responsibilities

ASSESSMENT LINKS

Adult ADHD Current Symptoms

ADULT ADHD Rating Scale

PARENT ADHD Scale for ChildAdolescent

TEACHER ADHD Scale for ChildAdolescent