Download our forms below:
- Service Agreement
- Request and Authorization to Release Records and Information
- Client Information, page one
- Client Information, page two
- HIPAA and Service Agreement Acknowledgement Signature form
- Medical History

Forms
Download our forms below:
• Individual, family, and group psychological counseling assisting children, adolescents, and adults.
• Parent and teacher effectiveness.
• Clinical consultation to schools and organizations.
Contact us today at: 216.292.7170