Forms

These forms are required by law and must be completed prior to treatment.  Please follow these instructions to ensure your visit will run as efficiently as possible.

1) DOWNLOAD each form as instructed by our staff-NOTE: not everyone needs to fill out every form, so please download only as directed by our staff.

2) Please print out your downloaded forms and complete them prior to your first visit.

3) Please arrive 15 minutes early to your first appointment so that all of your forms may be processed. 

UYDC - Cancelation Policy

Form #1

UYDC - New Client Intake Form

Form #2

UYDC - Disclosure Statement

Form #3

Consent for Communication

Form #4

HIPPA Form

Form #5