top of page

Please fill out and print the Adult or Adolescent Informed Consent (I only need the last page) form and Client Registration Form and bring them with you to your first appointment. Please do not sign and date them until you come in for your first visit as that is considered your first day of treatment. The rest of the information on this page is for your information and is not needed for your first visit.

For parents bringing their adolescents in for treatment, I need BOTH legal parents to sign and date both spots on the Client Registration Form as well as the Adolescent Consent for Treatment. I will not see your child unless both legal guardians/parents of the child have signed all appropriate spots on both forms. They are considered legal documents and regardless of the relationship status with either parent (i.e. a difficult divorce process, abuse/neglect allegations) unless one of the parents has had their legal rights terminated by a court or​ if a parent voluntarily surrenders their legal rights, then the only legal  guardian/parent can sign the forms (If so, then please bring in that paperwork so I can have a copy in the chart).

If you use Apple products, please use the pdf files. The other forms are for your information. If you have any questions about them, please feel free to contact me at 603-785-2948 or send me an email at sabryan1965@gmail.com.



bottom of page