Client Forms
Client forms are listed below for your convenience. You will need to have access to Adobe Reader.
New Client Information
* Please read prior to first appointment
New Client Forms
* Please print and fill out to bring to your first appointment.
Allow at least 30 minutes to complete.
- Initial Intake Form (General Clients)
- Initial Intake Form (Autism/ADHD/Sensory Disorder)
- Informed Consent Form
- Payment Policy
- Contact Information
- Receipt of Privacy Policy
- 3-Day Diet Diary
Follow-up Forms
* If you have not been to the office in the last 3 months, please print and fill out
before your follow-up consultation.
Optional Information
- Credit Card Authorization
- Privacy Policy
- Medical Records Release
Testimonials
* If you would like to share your experience with others, please use the forms below and
send to our office, your testimonial must be accompanied by a signed copy of the release form for us to be able to utilize it.
Thank you!
