To download a form, please click on the underlined word.
It is helpful to complete these forms and bring them with you to your first appointment.
NEW PATIENT INFORMATION FORM
Includes your insurance information, if applicable.
Your current concerns and past history.
Your child/adolescent's current concerns and past history.
Making Appointments, Office Hours, Fees, Insurance
RELEASEOF CONFIDENTIAL INFORMATION FORM
Gives your Therapist permission to send your information to another professional, or to have information sent to Anchor Psychology Center from another professional/institution.
AUTHORIZATION FOR AUTOMATIC CREDIT CARD PAYMENT