Client Forms

Adult

If you are an adult client, please download, complete, and bring to your first appointment the following Form, which will save you about 20 minutes at the office:

Click Here to download and complete the adult form

Also, read the HIPAA and Therapy Agreement / Policies / Consent Forms. These are available for download if you wish to store or print them for yourself. You will be asked to initial and sign a form in my office that you agree with the information in each of these forms.

Jim Ciraky PhD., LPC