For adults 18 years and older, please fill out the following form.
| adult_complete_initial_packet_10.13.pdf |
If the client is between 13 and 17 years of age, please fill out the following 2 forms.
| adolescent_problem_checklist_10.13.pdf |
| adolescent_initial_packet_10.14.pdf |
If the client is younger than 13 years of age, please fill out the following form.
| child_initial_packet_10.14.pdf |
These forms can be downloaded and emailed to dfox165@hotmail.com. Do not click the Submit button. Instead, click Save As and email.
