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Important Forms

Important forms

​If you're a new client seeking behavioral health services, please review and fill out the Office Policy form as well as the appropriate intake form and bring it to your first therapy session.  Please note the following things:
  • In the Commonwealth of Pennsylvania, the age to consent for services and parental involvement is 14.  If your teen is 14 or older, they have the right to decide the level of parental involvement for treatment.  As a result, it is best if you involve your teen in obtaining information and their signature on the forms below, in addition to your signature.
  • In the Commonwealth of Pennsylvania, parents with shared custody must both agree to their child (who is under the age of 14) receiving therapy. Both parents MUST bring a completed Consent for Treatment form along with a copy of their custody agreement to The Center prior to meeting with a therapist.
​
Office Policy
File Size: 257 kb
File Type: pdf
Download File

consent_for_tx_of_a_minor.pdf
File Size: 233 kb
File Type: pdf
Download File

child_therapy_intake_forms.pdf
File Size: 231 kb
File Type: pdf
Download File

adolescent_therapy_intake_forms.pdf
File Size: 194 kb
File Type: pdf
Download File

adult_therapy_intake_forms.pdf
File Size: 197 kb
File Type: pdf
Download File

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  • Home
  • About
    • Meet Us
    • Forms
    • Rates and Insurance
    • FAQ's
  • Services
  • Education/Resources
    • For Caregivers
    • For Therapists
  • Blog
  • Contact