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Blue Mountains
Blue Mountains

Helpful Forms

ALL New Patients:
If you're a new client, 18 years and older, please complete the following forms and bring them to your first therapy session.  

New Patients seeking Group Counseling:
If you are a parent seeking to join our parenting group please complete the following forms and bring to your intake appointment.  

New Patients seeking Couples Counseling:
If you are a new patient seeking couples counseling, each partner will need to complete this form individually and bring it to your appointment.  Please do not share your answer!  Please print 2 packets, one per person!

 

New Patients seeking Family Counseling:
If you are a new patient seeking family counseling, please complete the following forms and bring to your first appointment. Please print one copy of Part 2 packet per family member!

New Patients Ages 14-17:
If you are a new patient with a child between the ages of 14-17, please complete the following forms and bring to your first appointment

New Patients Ages 12-13:

If you are a new patient with a child between the ages of 12-13, please complete the following forms and bring to your first appointment

Under the age of 12:
If you are a new patient with a child under the age of 12, please complete both forms and bring to your first appointment.


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

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Helpful Forms

Click here to view and print forms for your appointment.

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