Forms
Intake forms
Please contact the Psychological Services Center to receive copies of these forms.
Please print all forms and bring the completed documents to your first appointment.
- Intake information
- Service policies
- Notice of Privacy Practice
- Consent for Psychological Service
- Financial Agreement
Patient Information forms
- Client Satisfaction Survey
- Request for access to records
- Complaint regarding health information
- Restrict use or disclosure request
- Amendment request
- Alternative means of communications
- Accounting disclosure