Forms

Intake Package

Intake.pdf - Personal Information document.

Informed Consent.pdf - Consent to Care policy document.

Payment Policy.pdf - Billing and Payment policy document.


Admin Forms

Release of Information.pdf - External Release of Personal Health Information document.


Treatment Forms

Assessment.pdf - Biopsychosocial Assessment form.

Treatment Plan.pdf - Treatment Planning form.


Assessment Scales

GAD-7.pdf - Generalized Anxiety Disorder assessment scale.

PHQ-9.pdf - Major Depressive Disorder assessment scale.

PCL-5.pdf - Post-Traumatic Stress Disorder assessment scale.

CIWA.pdf - Clinical Alcohol Withdrawal assessment scale.

COWS.pdf - Clinical Opiate Withdrawal assessment scale.


If you are having trouble viewing these documents, please download Adobe Acrobat Reader: https://get.adobe.com/reader/