Client Forms

Family and Child Therapy Intake Forms

Child and Family Forms:

Child Intake Packet
Child Demographic Form
Child Medical/Developmental Questionnaire
School Refusal Assessment Scale (Child)
Screen for Child Anxiety Related Disorders (8-18 yrs)
Generalized Anxiety Disorder (GAD) (11-adult)
Beck's Depression Inventory (13 and older)

Adult Forms:

Adult Intake Packet
Adult Demographic Form
School Refusal Assessment Scale (Parent)
Cross-Cutting Symptoms Measure (Adult)
PTSD Checklist for DSM-5 (PCL-5) - Adult
Beck's Depression Inventory (13 and older)
Generalized anxiety disorder (GAD) (11-adult)
Parental Stress SCale (PSS)
Patient Health Questionnaire-9 (PHQ9) - Adult

All Client Forms:

Release of Information/Protected Health Information
Grievances and appeals policy