Resources

We’ve put together a number of downloadable materials to assist our patients as well as individuals and groups within our network. They are available for free download by clicking on the document title.

Psychotherapist – Patient Service Agreement (PDF)

The Psychotherapist – Patient Service Agreement is a document that describes important information about the professional services and practice policies.

Privacy Practices (HIPPA) (PDF)

This notice describes how psychological and medical information about you may be
used and disclosed and how you can get access to this information.

Release of Information Form (PDF)

Conditional agreement and authorization of the release of information.

No Secrets Policy with Couples or Families (PDF)

This policy is intended to inform the participants in couples or family therapy of the approach and conditions of such a therapy.

Credit Card Authorization Form (PDF)

Authorization of payment with a credit card.

SAST

To take the Sexual Addiction Screen Test (SAST) please visit www.sexhelp.com. Look for the link “Am I A Sex Addict?” at the top of the page. Your responses are completely confidential and you do not have to provide your name or email address

GBSAST (PDF)

The Gay and Bisexual Sexual Addiction Screening Test.

ISAS (PDF)

Internet Sex Addiction Assessment (ISAS)

LASA (PDF)

Love Addiction Self-Assessment (LASA)