Please bring this form with you to our first meeting. During telehealth, you can email it to me. If this is the first meeting with your tween or adolescent, the form will best be filled out together, if possible.
Authorization for release of information
This form will only be required as needed. It allows you to give me permission to speak and/or exchange information with another professional. For example, if it would be important for me to speak to a doctor, psychiatrist, or school personnel.