Please print and complete the following form if you would like to coordinate care with another provider (primary care physician, psychiatrist, etc.). If you would like psychological assessment/evaluation information sent to your doctor, you must complete this form and return it with your intake packet.
The following forms are available for your review. You do not need to print them to bring in to your first appointment. However, in the intake packet, you will be asked to sign that you have reviewed this information and agree to the terms outlined therein.