Client Forms

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Adult Intake Forms
For clients age 18 or older
Adult intake packet.docx
Microsoft Word document [38.6 KB]
Child/Adolescent Intake Forms
For clients age 17 or younger
Children's Intake packet.docx
Microsoft Word document [50.0 KB]
Release of Information
A Release of Information (ROI) is to be filled out so Arubah Staff can coordinate care with other professionals assisting a client
Release of Information.doc
Microsoft Word document [35.0 KB]
Financial Hardship Application
If you are are in need of Pro Bono or Reduced Cost Services, please fill out this application
FINANCIAL HARDSHIP APPLICATION 2016.docx
Microsoft Word document [21.8 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.