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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! 

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:

Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

Click here to view and print forms for your appointment.

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