The Admin Team may request that you complete one or more of these forms. If you have questions, please contact the Admin Team at (636) 442-2612.
The Adult New Client Forms e-signature packet is a required part of the registration process.
The Minor New Client Forms e-signature packet is a required part of the registration process for clients under 18 years of age.
These forms are all included in the New Client Forms, but may be requested separately by our Admin staff if updates are needed:
Clients must complete the Waiver & Release - COVID-19 form before returning to the office for in-person sessions.
The Electronic Payment Authorization form authorizes credit card payments.
The Informed Consent for Telehealth Services form provides information and authorizes telehealth services.
The HIPAA Consent form authorizes the release of information regarding scheduling and billing.
The Release of Information Authorization form must be completed before protected health information may be released.
Complete this form to register for our TalkTime20/20 telehealth "check-in" sessions:
The TalkTime20/20 Information and Consent form must be completed prior to the first FREE TalkTime20/20 telehealth check-in consultation support session.