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 For adults 18 years and older, please fill out the following form.  

adult_complete_initial_packet_10.13.pdf
File Size: 286 kb
File Type: pdf
Download File

 If the client is between 13 and 17 years of age, please fill out the following  2 forms.

adolescent_problem_checklist_10.13.pdf
File Size: 298 kb
File Type: pdf
Download File

adolescent_initial_packet_10.14.pdf
File Size: 276 kb
File Type: pdf
Download File

If the client is younger than 13 years of age, please fill out the following form.

child_initial_packet_10.14.pdf
File Size: 277 kb
File Type: pdf
Download File

These forms can be downloaded and emailed to dfox165@hotmail.com. Do not click the Submit button. Instead, click Save As and email.
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