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Welcome toQuest Family Therapy

Helpful Forms

If you are a new adult client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Psychotherapy/Client Services Agreement
  • HIPPA Notice

If you are a parent with a new child or adolescent client, please complete the following forms and bring them to your first therapy session.

  • Child Psychotherapy Intake Form (To be completed by parent(s))
  • Child / Family Psychotherapy/Client Services Agreement
  • HIPPA Notice
  • Adolescent Client information Sheet (To be completed by adolescent)

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Note: To download Adobe Acrobat Reader for free, click here.


Adult Forms

 

 

Couples/Families Intake Form  
Adult Psychotherapy Intake Form  
Psychologist/Client Services Agreement  
HIPPA Notice  
Consent to Release Information  

 

 






Child / Adolescent Forms

Child / Adolescent Psychotherapy Intake Form
 
Child / Adolescent Psychological Services Agreement

 
Adolescent Information Form
 
HIPPA Notice

 
Consent To Release Information
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule Appointment

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Helpful Forms

Click here to view and print forms for your appointment.

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