This form is REQUIRED for each new child patient. Please download, fill out, and print the form. Bring it to the first appointment in order to save time.
General Information: First Appointment
The intake appointment will last approximately 60 minutes. Please download all forms that are applicable to your family. Please complete the forms prior to the appointment so that the appointment is more beneficial. If you are unable to print and complete the forms, please notify Ms. Brown before the appointment. Please do not bring your child or their siblings to the first appointment, it is not beneficial for a child to be there as we discuss your concerns. It is beneficial if both parents can attend the first appointment.
In the case of divorce, please complete the additional forms that are applicable to that situation: Right to Seek Mental Health Treatment and Custody Dispute Contract. Please bring the latest legal decree regarding custody and the section that outlines who may seek and make decisions for mental health treatment . I am legally unable to treat your child or discuss your concerns without this legal documentation.
Please contact Ms. Brown with any questions regarding these policies.
Child Intake Form
Child Intake Form
Consent for Psychotherapy
Consent for Psychotherapy for a Minor
Please download, fill out, and print the form. Bring it to the first appointment in order to save time.
Right to Seek Mental Health
Right to Seek Mental Health
Please download, fill out, and print the form. Bring it to the first appointment in order to save time.
Notice of Privacy
Notice of Privacy
Please download, fill out, and print the form. Bring it to the first appointment in order to save time.