Below are links to our patient intake packet. This is required information that we need to enter into our system. Patients typically spend a great deal of time filling out these forms during their first visit; time that could be spent getting to know and connecting with your provider. To expedite this process we have published our intake packet online. This will allow you to fill them out at your convenience. When you have completed the forms, simply print, sign, and bring them to your first appointment.
IMPORTANT NOTES REGARDING THESE FORMS:
Biopsychosocial History (docx)Download
Consent to Treat (docx)Download
Orientation to Treatment (docx)Download
Emergency Contact (Adult) (docx)Download
Emergency Contact (Child) (docx)Download
Release of Information-Andover (docx)Download
Release of Information-Beverly (docx)Download
Client Registration Form (docx)Download
Therapy Goals (docx)Download
Copyright © 2018 Elpis Psychology, Health & Education Institute - All Rights Reserved.
Powered by GoDaddy Website Builder