Paperwork
Paperwork
Please prepare PRIOR to your visit by downloading and completing ALL related paperwork for the service you are interested in. COMPLETED paperwork should be brought in during your scheduled initial visit
Play Therapy
Download and complete following (8) Documents
Child Intake Form
Child Supplemental Disclosure
HIPPA Rights
HIPPA Signature
Permission to File Insurance
TA Office Policy
TA Play Disclosure
TA Payment Contract
Consent Form
One on One Parent Coaching
Download and complete following (3) Documents
Coaching Disclosure
Coaching Face Sheet
Payment Contract
Parent Group
Download and complete following (4) Documents
Consulting Group Intake
Disclosure
Parent Group Contract
Parent Background
Individual Paperwork
Download and complete following (7) Documents
HIPPA Rights
HIPPA Signature
Permission to File Insurance
TA Office Policy
Individual Disclosure
Payment Contract
Individual Intake
Consent Form
Fun With Feelings
Download and complete (1) Document
FWF Interest Form
Resiliency Group
Download and complete (1) Document
RG Interest Form
Becoming a Love and Logic Parent
Download and complete following (1) Document
LaL Interest Form
