If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.
Couples Counseling Initial Intake Form
Child and Adolescent New Patient Forms
Client Rights and Responsibilities
Consent to Use of Telecommunications for Psychotherapy
Spanish Forms
Authorization to Release and or Exchange Information Spanish
Demographics Intake Form Spanish
Financial Policy Agreement Spanish
HIPAA Policies Full Notice Spanish 2019
Intake – Spanish Cuestonario -Individual
Ingesta de abuso de sustancias
703-752-6181 | Fax: 703-752-6201 www.bridgetowellnesscenters.com