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Psychotherapist-Patient Agreement
(Read-Only, does not need to be printed)

HIPAA Information
(Read-only, does not need to be printed)

Patient Information Form

HIPAA Signature Form

Intake Questionnaire for Adults (for adult clients only)

Intake Questionnaire for Adolescents(for adolescent clients only)

Forms

Please read the
Psychotherapist-Patient Agreement
and the HIPAA Information form
prior to your first appointment.

Please print and fill out the forms
on this page (indicated in bold)
prior to your fist appointment.
Bring the forms with you to your
first appointment.

Thank you.

Jennifer Lager, Psy.D.

Helping individuals, couples, and families improve relationships, accentuate strengths, and maximize potential