Downloadable Forms for the Initial Appointment
Instructions
To provide important background information and to reduce time completing paperwork at the time of the first session, please print out and complete the appropriate forms. Then, send them back to your psychologist in advance or bring them with you to the first appointment.
Child / Adolescent / Young Adult
If you are 21 years old or younger, the following two forms should be completed by you or a parent for the initial appointment.
*If you have other children who will be participating in family therapy with us, it would be beneficial for you to complete Developmental Histories for them also.
- Copies of Prior Reports
Please make copies of any psychological testing and other assessments that have been completed in recent years, and if relevant, copies of recent report cards with teacher comments. Additionally, if your child has an ER/RR (Evaluation Report) from the school district and an IEP/504/GIEP Plan please make copies of the most recent versions. (Please do not send your only copy of original reports.)
Individual Adult
If you are an adult 22 years old or older, you should complete the following two forms for the initial appointment.
Couples / Marital
If you are visiting as a couple, both you and your partner should each complete the following two forms for the initial appointment.
- Information Sheet (Print two copies — one for each person to complete)
- Adult History Form (Print two copies — one for each person to complete)
