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Calm Sea
For your convenience you can find most of the clinic's forms on this page. Please complete the forms that pertain to the type of service you are seeking to make your first appointment more efficient. If you have any questions about which forms you need to complete, do not hesitate to call us.

The .pdf forms are fillable; however, your answers cannot be saved. Please make sure to print the completed forms.
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Adult Intake Questionnaire 

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Authorization to Release Records

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​Caregiver's Authorization Affidavit

 

​Child Intake Questionnaire 

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Consent to treatment​

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Credit Card Authorization Form

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Demographics Form

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Financial Policy

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Good Faith Estimate

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Referral Form

Note  ​​
For the patients seeking an evaluation:
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​* It is very important that the patient is well rested and had a nutritious meal before arriving for his/her assessment appointment. ​
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* Bring copies of any prior psychological, psychoeducational, neuropsychological testing reports and IEP paperwork to your first appointment.
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