Please download, print, read, and fill out these forms to bring to our first session or email them to email@example.com or confidentially fax to 808-214-6090.
Everyone must return forms 1, 2, 4, 5, and 6. If you don't get to them, no problem, you can fill them out in my office. Please retain copies of your signed forms for your files
Click on a file to download.
1 - client information - fill out as thoroughly as possible (pdf)Download
2 - informed consent form - read and sign (pdf)Download
3 - NPP form - read and keep for your files (pdf)Download
4 - NPP Consent Form - read and sign (pdf)Download
5 - rates and cancellation fees - everyone must sign (pdf)Download
6 - COVID waiver - only needed if you plan to come into office (pdf)Download
7 - consent to treatment of adolescent - only if you are the parent/guardian of a minor client (pdf)Download
8 - Release of information - fill this out and sign if you want me to confer with doctor or family (pdf)Download