Pediatric Behavioral Health

About Your First Appointment

At your first appointment, you will meet with your practitioner and go through a diagnostic interview, so that your practitioner can understand your concerns and your child's symptoms. 

To make the most efficient use of the time, and to be sure we truly understand your child's background, we ask that you fill out our intake questionnaire.  This form goes through a lot of information some of which you might not feel comfortable discussing in front of your child.  Please note this on your form, so that we make sure you have some private time with the practitioner. 

In addition to the intake form,  we will also provide you with a statement of your HIPAA privacy rights and ask you to sign a copy of our financial agreement. 

A copy of the financial agreementthe privacy statement, a copy of our information release form, and the initial questionnaire (below),can be downloaded by clicking on the name of the document.

Initial Questionnaires
Birth to 5
Children (age 6 to 12)
Teenagers (age 13 and up)

Child or Adolescent for Neuropsychological Evaluation

We are also happy to mail the intake form to you in advance of your appointment.  Just ask!