See below to download a PDF of our frequently requested documents and forms. Note these are not available for e-signing.
Please return documents as instructed or by the method most convenient for you.
All forms can be sent to your email to complete and e-sign via Adobe Sign (HIPAA-compliant) upon request. There is an option to download a copy of any agreement after you e-sign.
Paper copies are available at all three locations or by US mail upon request.
Please do not hesitate to contact our office if you have any questions or concerns.
Clinic Policies & Informed Consent (pdf)Download
HIPAA Notice (pdf)Download
Record Access Request (pdf)Download
Release of Information Authorization Sending records from CNS (pdf)Download
Release of Information Authorization Sending records to CNS (pdf)Download
Client Authorization Revocation (pdf)Download
Neuropsychological Evaluation Referral (pdf)Download
Credit Card Authorization (pdf)Download
Demographic Form (pdf)Download
Adult History Form (pdf)Download
Child History Form (pdf)Download
Parent of an Adult Developmental History Form (pdf)Download