FORMS

Welcome to the Forms Page. Here you will find forms you will need to complete and submit to our office prior to being seen by your treating clinician.

All forms below are in Adobe Acrobat Reader format. If you do not have Adobe Acrobat Reader, click here to download and install.

Please Note:

If you are seeing Dr. Molina please click here.

If you are seeing Dr. Felicia Tralongo for Testing ONLY, please click here.

General Office Forms

(To be completed by all clients seeing any of the clinicians in our office except as noted above.)

Please click on each of the following links to download and print each form individually.

1. Office Policies
2. Informed Consent
3. New Patient Intake Form and Financial Agreement
4. Confidentiality Policy
5. Release of Information (PHI Authorization)

Download ALL the General Office Forms in Zip Format here.

Other Office Forms

Forms for Dr. Molina

All forms must be filled out and submitted to our office prior to being seen by Dr. Molina.

1. New Patient Intake Form and Financial Agreement
2. Confidentiality Policy
3. Clinical Intake Form for Adults
   1. English
   2. Spanish
4. Clinical Intake Form for Children
   1. English
   2. Spanish

Testing Forms for Dr. Felicia Tralongo

Please note, these forms are for clients seeing Dr. Tralongo for Testing Only. If you will be seeing Dr. Tralongo for therapy, you need to download our General Office Forms as well.

1. New Patient Intake Form and Financial Agreement
2. Testing Contract