The forms below are available so that you may print them out and bring them with you to your first visit. We are able to mail them to you if needed, just let us know.

For Psychotherapy (Counseling) Services:

Adult Intake Form

Medication List

For Neuropsychological (Cognitive/Memory) Testing:

Neuropsychological & Health Screening Questionnaire

Medication List

The form below is our HIPAA Privacy Practices Information, you are welcome to look it over and print if you’d like.


The form below is our Release of Information form – We may ask you to fill this out so that we may communicate with other providers and/or family members, caretakers or friends if you choose to allow this.


Map to our office with detailed instructions: