At your first appointment (also called Intake), you will be filling out the following forms:
Authorization to Disclose
Client Consent for Treatment
Health Assessment
Client Service Agreement
Additionally, here are some helpful downloads about a few of our key policies involving treatment - as well as some general insurance information.
Client Rights & Grievance Procedures
Notice of Privacy Practices
Our clinicians sometimes utilize the NICHQ Vanderbilt Assessment Scale to identify Attention Deficit / Hyperactivity Disorder. If your clinician has directed you to do so, please print out the following forms and fill them out according to their instruction. One is for a parent or guardian to fill out, the other is for a teacher to fill out.
Vanderbilt Assessment Scale - Parent Informant
Vanderbilt Assessment Scale - Teacher Informant
Medicaid, most insurances and private pay accepted. For more information, please call us at 419.475.4449
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