Adult seeking treatment for yourself

Adult Intake Form
Download
Adult Medical History Form
Download
Adult Treatment Goals Form
Download
Health Insurance Portability and Accountability Act (HIPAA) Acknowledgment Form
Download
WA Notice Form
Download

Minor or an adult seeking treatment for your minor child

Child intake form
Download
Child Family History Form
Download
Health Insurance Portability and Accountability Act (HIPAA) Acknowledgement Form
Download
WA Notice Form
Download
Due to security and confidentiality issues, we have not made it possible for you to return these forms to us electronically. Please bring all of your completed forms to our office when you come for your appointment.