client forms


Client Forms
New clients please fill out the following forms BEFORE arriving for your first appointment. The forms and the information you provide in these forms remain confidential. 

You also need to complete new client forms If you have not been to our office in over 3 months.

  1. Checklist of Concerns
  2. NeurOptimal®  Consent form
  3. Appointment Attendance Policy 

If you were referred by another provider, please complete the release of information form to coordinate care:
Release of Information Form

Returning clients (complete after 10 sessions to re-evaluate your progress):
Checklist of Concerns