top of page
Client forms
Download and complete the forms for your age group. Please bring them with you to your first session.
For clients 18+
-
Intake Form (Adult)
-
Informed Consent
-
Release of Liability (Rise Canyon Ranch)
-
Release of Liability (Orange County Facility) – CA ONLY
-
Rules and Regulations – CA ONLY
-
Notice of Privacy Practices (HIPPA) – READ ONLY
-
Acknowledgement of Privacy Practices
-
Authorization to Exchange PHI
-
COVID-19 Risk Waiver
-
Debit / Credit Authorization
-
Cancellation Policy
For clients under 18
-
Intake Form (Child)
-
Informed Consent
-
Release of Liability (Rise Canyon Ranch)
-
Release of Liability (Orange County Facility) – CA ONLY
-
Rules and Regulations – CA ONLY
-
Notice of Privacy Practices (HIPPA) – READ ONLY
-
Acknowledgement of Privacy Practices
-
Authorization to Exchange PHI
-
COVID-19 Risk Waiver
-
Debit / Credit Authorization
-
Cancellation Policy
bottom of page