Forms

Prior to your initial appointment, please print out, read, and complete the following forms. Then please bring the completed forms with you to your appointment. If you have any questions about the information on the forms, please contact us.

Forms for Clients of Amy Francis

• Informed Consent
• Adult Intake
• Child Intake (Only required for clients under the age of 18)
• Notice of Privacy Policy

Forms for Clients of Stephen Nichols

• Informed Consent
• Adult Intake
• Child Intake (Only required for clients under the age of 18)
• Notice of Privacy Policy