Forms

Forms: Before Your Appointment

If you're a new client, please complete the following forms and bring them to your first therapy session.

Appointment Cancellation Policy
HIPAA Privacy Notice
Informed Consent for Therapy
Intake Form
Patient Health Questionnaire
Registeration Form
Fee Agreement
Teletherapy Informed Consent


If you would like us to contact other providers (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Authorization To Release of Confidential Information Form

Hygiene Protocol

In these challenging times of adjusting to changes in our lives because of the COVID-19 outbreak, Advanced Mental Health Center, Inc. is working to support established clients. We are offering psychotherapy and psychological services via Telehealth and if necessary a face -to-face session. Stay safe!