Intake & Other Forms

For new and current clients, please review Dr. Long's Office Policies

If you're a new client, please complete the following forms and bring them to your first therapy session:

For Adult Clients (18 years of age and older): Adult Intake

For Children & Adolescents (17 and younger): Child/Adolescent Intake

For clients that would like to participate in telepsychology services, the following informed consent is required: Telepsychology Informed Consent.

If you would like me to communicate with another provider (for example, your psychiatrist, primary care physician, etc.), a release of information is required. Release of Information

If you will be participating in an evaluation, please see the Special Authorizations form.

*Note: To download Adobe Acrobat Reader for free, click here.

Helpful Forms

Click here to view and print forms for your appointment

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