First Visit Patient Forms
Choose the form that best describes you or your child and print single sided. Fill out and bring them to your first visit.
Form A : For pediatric patients > 5 years of age with problems related to attention, learning, behavior, and mental health
Form B : For adults and young adult patients > 14 years of age with problems related to attention, learning, behavior, and mental health
Form C : For young pediatric patients < 5 Years of Age with autism, developmental concerns, or other health concerns
Form D : For patients ≥ 5 Years of Age with general health concerns
Form E : For adult patients general health concerns