Client Forms

If you're a new client, please complete the following forms and bring them to your first session.


Client Information Form (all patients must complete)

HIPAA Compliance Form (all patients must complete)

Credit Card Authorization (all patients must complete)

Consent Form - Adult (select this form if you are 18 years of age or older and services are for yourself)

Consent Form - Minor (select this form if you are bringing your child or adolescent for services)

Telehealth Consent Form (select this form if you will be doing any telehealth services)

COVID Consent Form (select this form to consent to in-person services)


If you would like Dr. Lokken, Dr. Woodcox, Courtney, or Nicole to coordinate care with another provider (for example, your psychiatrist, primary care physician, school, etc.), complete this form to authorize release of psychotherapy information:

Release Form


Note: To download Adobe Acrobat Reader for free, click here .