Forms
Prior to you initial appointment please fill out registration paperwork. If you do not have access to a printer copies of the paperwork are available in the office. For those filling out paperwork in the office, please come 15-20 minutes early to allow adqueate time to complete the forms prior to your appointment.

Individuals pursuing couples therapy must each fill out registration forms. 

If any questions should arise, call the front desk at 262.241.7778 for assistance. 

 Registration Forms:

Child/Adolescent Registration Forms (Under 18 years of age)

Adult Registration Forms

 

Release Form 

This form is needed to authorize release of any of your records to another specified professional. 

Authorization for Release of Information Form