New Client Forms
NEW CLIENTS: Please print "Adult Intake Form" and "Informed Consent", fill out and bring with you to your first appointment. If the client is under 18 years old, please print out "Child/Adolescent Intake Form" and "Informed Consent", fill out and bring with you to your child's first appointment. HIPAA is in the list below for your information. You do not need to print out HIPAA unless you would like to. Also, bring your insurance card, if applicable (only BCBS insurance and Mississippi Physicians care network accepted), and ID. Your therapist will be happy to answer any questions you may have regarding forms.
| Adult Intake Form |
| Child/Adolescent Intake Form |
| Informed Consent |
| HIPAA |
| Authorization to Release or Obtain Records |
