Patient Forms

Please fill out the following forms before your therapy appointment:

• Client Information Form
• Adult Intake Questionnaire (ages 18+)
• Child Intake Questionnaire (ages 17 & under)

If you are doing neurofeedback or a qEEG, please fill out the following forms:

• Client Information Form
• Adult Intake Questionnaire (ages 18+)
• Child Intake Questionnaire (ages 17 & under)
• Neurofeedback Consent Form 
• qEEG Consent Form (Only if you are doing a qEEG)