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Make An Appointment
Make An Appointment

Forms

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To Read Over: (no need to submit)

  1. For adults: Informed Consent
    For minors: Informed Consent

  2. Privacy Practices

Then fill these out and return:

Either print, sign, and bring to your in-person appointment, or fill out and sign electronically. See instructions under "How to Submit" tab.

  1. For adults: Signature Page
    For couples/families: Couples/Family Signature Page
    For minors: Minors Signature Page

  2. Credit card on file

  3. Telemedicine Informed Consent

To complete by the second session:
  • This more thorough questionnaire is optional but helpful to get a jumpstart on your treatment, and save time in session.
  • Intake Questionnaire
Release of Information Authorization:

  • Permission to share information with another care provider
  • You don't need to fill this one out unless we've discussed.
  • Release Authorization

Print Format

If your first appointment is in-person, you can print, fill out & sign, and bring with you to the office.

In Session

If your first appointment is in-person, Olivia will have paper copies available for you to review and sign during our session time.

Digital Format

Firefox is one way to digitally fill out and sign. Click the Text icon in the top right corner of the browser window to enter text. Click the Draw icon to sign your signature. Click the Save icon to download your completed forms as PDF files. Please upload documents securely via VSee to protect your data. Email is not secure. Click on the chat function, click the plus sign to attach the file, then press Enter to upload.