Prior to scheduling a visit online, please complete the intake form along with consents and HIPAA forms and submit them in advance of your appointment.
Please print and complete the Consent and HIPPA Forms and return them via email.
Intake Form
Additional forms:
You may also complete some forms online that may be relevant to your situation. If you complete any, please bring results to your session.
Adult ADHD Self-Report Scale
A psychological self assessment measuring the symptoms of ADHD in adults.
View on psychology-tools.com
Hamilton Anxiety Rating Scale
A psychological assessment of the severity of symptoms of anxiety.
View on psychology-tools.com
Psymed – OCD TEST
Obsessive-Compulsive Disorder screening test
View on www.psymed.info
Major Depression Inventory
A psychological self-rating scale developed by the World Health Organization designed to measure depression severity.
View on psychology-tools.com
Bipolar Disorder Screening
Instructions: Please answer each question as best you can. Upon completing this form, print your completed form and take it to your health care practitioner.
View on bipolar.stanford.edu
Vanderbilt ADHD Assessment Scale-Parents
Never Occasionally Often Very Often Symptoms 1. Does not pay close attention to details or makes careless mistakes with, for example, homework 0 1 2 3 2.
View on www.myadhd.com
Child Attention Deficit Disorder (ADHD) Screening
This quiz tests whether your child or teen may have attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD).
View on psychcentral.com
ADHD Questionnaire for Teenage Girls
View on addvance.com
Panic and Agoraphobia Scale
A psychological self-rating scale that indicates the severity of panic attacks and agoraphobia symptoms.
View on psychology-tools.com
Autism / Asperger’s Quiz
Discover whether you suffer from autism or Asperger’s with this quick screening online test.
View on psychcentral.com