Please complete the Intake Forms prior to your first session with your therapist.

You can email the completed forms to us at: info@optimallifewellness.com.

Please download and review the HIPAA Notice and Department of Health publication. To access these forms, please click on the links below.

In order to read these forms, you must have Microsoft Word and/or Adobe installed on your computer.

 

Please download and fill out the Release of Information form if you anticipate needing your clinician to communicate with another person and/or you’re a minor between 13 – 25 years of age and dependent on a parent for scheduling and/or insurance billing.

Please print out your chosen clinician’s disclosure statement for your review and records.