Forms

All of our intake forms can be filled out, signed, and emailed directly from your browser.

Form	Description	Link
New Client	New clients should fill out this form first.	Complete Online or View PDF Version
Agency Referral	Referral forms for agency evaluation intakes.	Complete Online or View PDF Version
Legal / Forensic Evaluation	Psychological evaluation intake form.	Complete Online or View PDF Version
New Insurance	If you have changed insurance providers, please fill out this form.	Complete Online or View PDF Version
Release of Information	General consent to disclose protected personal information for treatment, evaluation, and payment purposes.	Complete Online or View PDF Version
Financial Policies	View HRA's financial policies for billing and insurance.	View PDF
HIPAA Rights	View HRA's services policies and practices to protect the privacy of your personal health information.	View PDF