New Patient Paperwork

1. Select your visit type

2. Complete your forms

You're completing paperwork for your selected service.

1. Intake Form (REQUIRED)

Patient demographics, contact information, and insurance or payment type.

COMPLETED

2. Therapy Practice Policies & Procedures (REQUIRED)

Appointment expectations, emergency contacts, the risks and benefits of therapy, and confidentiality.

COMPLETED

2. Assessment Practice Policies & Procedures (REQUIRED)

Appointment expectations, emergency contacts, confidentiality, and policies specific to psychological evaluations.

COMPLETED

3. Notice of Privacy Practices (REQUIRED)

Privacy rights, confidentiality practices, permitted uses and disclosures of health information, and patient acknowledgment of the Notice of Privacy Practices.

COMPLETED

4. Payment Form (REQUIRED)

Set up ACH bank transfer (recommended) or credit card on file for session fees.

COMPLETED

Authorization for Release of Information (OPTIONAL)

Only needed if you'd like Forest Psychological Clinic to share information with another provider, school, or organization on your behalf. You can complete this now or at any time during treatment.

COMPLETED

Questions about any of these forms? Call us at (971) 331-1366 and we're happy to walk through them with you.