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All forms are PDF and require Adobe Acrobat Reader for viewing.
Required forms for all patients on or before your first appointment:
Patient Information & Consent Form
Psychological Services Agreement & Policies Form
HIPAA Form
HIPAA Signature Form
Insurance Consent Form
History forms:
Adult History Form (individual therapy)
Child and Adolescent Form (for parents to complete)
Adult Testing History Form (for testing services only)
Child and Adolescent Testing Form (for testing services only)
History form therapist might request you to complete after the first appointment:
Couples History Form (for couples therapy)

For your practitioner/examiner to communicate with another individual, download this form:
Release of Information Form

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Copyright © 2008 Pines Psychological Associates, P.A.
Last modified: Sunday, December 07, 2008