If you are already enrolled in the Patient Portal, you should have received an email about any forms you may be asked to fill out. Please try logging in to the patient portal before signing the form via our website.

If you have opted out of the patient portal or if you did not get enrolled in the patient portal, please carefully review the instructions and complete all four forms. If you would like to receive a copy of each form, you can do so by inputting an email address.

Name

This field is for validation purposes and should be left unchanged.

Client Services Agreement

for Group Therapy Services

For each of the four fields below, please click “Add Form” and fill out the form that displays. Once you have added the form, you should see the client/participant’s name and your signature come up. After completing all four forms, you may click submit.

If you are consenting for multiple participants, please refresh your page after submission to complete another form.

Group Therapy Agreement

Client Legal Name	Signature	Actions

There are no Forms.

Emergency Contact Form

Client/Participant Legal Name	Signature	Actions

There are no Forms.

Additional Communications Form

Client/Participant Legal Name	Signature	Actions

There are no Forms.

Portal Election Form

Client/Participant Legal Name	Signature	Actions

There are no Forms.

Group Services Agreement