Testing Forms


Other Forms and Policies

Telehealth Informed Consent: Telehealth Informed Consent

Authorization to Release Information: Authorization to Release Information

​Abridging a Report: Abridging a Report

​Request for Records of Services Provided: Request for Medical Records

Credit Card Authorization: Credit Card Authorization

Request for Additional Services: Request for Additional Services

Waiver of Feedback Session: Waiver of Feedback Session

Consent for Consultation-Psychotherapy: Consent for consultation-psychotherapy

Consent to Treat a Dependent Adult: Consent to Test a Dependent Adult 7-21

Insurance Reference: Insurance reference 2021