DON'T FORGET TO SUBSCRIBE TO OUR SOCIAL MEDIA ACCOUNTS AND NEWSLETTER

  • Home
  • For Clients
    • Patient Portal
    • Client Forms
  • Who We Are
    • Our Therapists
    • News and Events
  • FAQ
    • What Is Telemental Health
    • Fees and Insurance
    • No Surprises Act
  • Crisis Support
  • Blog
  • More
    • Home
    • For Clients
      • Patient Portal
      • Client Forms
    • Who We Are
      • Our Therapists
      • News and Events
    • FAQ
      • What Is Telemental Health
      • Fees and Insurance
      • No Surprises Act
    • Crisis Support
    • Blog
  • Home
  • For Clients
    • Patient Portal
    • Client Forms
  • Who We Are
    • Our Therapists
    • News and Events
  • FAQ
    • What Is Telemental Health
    • Fees and Insurance
    • No Surprises Act
  • Crisis Support
  • Blog

Client Intake and Consent Forms

Save time by downloading your new client intake and consent forms here. Fill them out on your desktop or mobile device, and then email them to us. (Or print them out and bring them to the office.)

Adult New Intake Form (pdf)Download
Minor Consent Form (pdf)Download
Medications List (pdf)Download
Telemental Health Informed Consent (pdf)Download
COVID-19 Risk Waiver (pdf)Download
Financial Agreement (pdf)Download
Annual Update Form for 2022 (pdf)Download

Be sure to also review our COVID-19 policies for all in-person appointments. We will notify you of any changes as we navigate the coronavirus pandemic. Make sure you also follow our social media accounts for news and updates regarding COVID-19, special events, and more.

How to Download and Edit Forms

Download Adobe Acrobat here.

Learn how to edit Portable Document Files (PDFs) here.

Find out more

Copyright © 2017 Insight Out Therapeutics - All Rights Reserved.

Voice: 470-215-6101 Fax: 678-870-2274

  • Crisis Support

Cookie Policy

This website uses cookies. By continuing to use this site, you accept our use of cookies.

DeclineAccept & Close