New Client Forms

Covid-19 Consent for in-person services

Health History Questionnaire

Demographic Information, Payment, Policy & Hippa Statement

Exchange of Information

( Optional: If you would like me to obtain information from other providers)

For Neuropsychological Evaluations please bring the following documents if relevant to our first meeting:

  • All previous assessments
  • All progress reports
  • All core evaluations
  • Recent I.E.P. or 504 plan

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Helpful Forms

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