Instructions

Click links below to access paperwork
(PDF will load in next tab or window)

Go to "File" and click "Save As"
Name the File: Your Name - PSYCHe
Save to Computer Hard Drive or Jump Drive before filling out forms

Prior to Entering
Information

 

If this is not done, all entered information will be lost.

Click the blank space to enter information or print and complete by hand

Attach the File to an email and send to info@psychepllc.com
You will be asked to sign paperwork prior to session. 


Forms

New Client Forms

Intake Questionnaire (Adult)

Intake Questionnaire (Adolescent)

Intake Questionnaire (Parent)

**The Intake Questionnaire assists PSYCHē to shorten history taking during the intake. 
We want to get to business; by filling out the questionnaire we can do that.**

Group Therapy Form      Parent Coaching Form

Release of Information      Therapist Referral Form

Environmental Intervention Form

HIPAA Policies and Procedures

Questions? Call 615.274.8400 or email info@psychepllc.com