Forms

New Therapy Patients

New patients need to print and complete the relevant forms below in advance and arrive at your first appointment at its scheduled start time.

If you are unable to print and complete these forms ahead of time, you will need to arrive to your first appointment 45 minutes early to complete the paper packet located in the lobby.

We recognize that the initial paperwork can be time intensive, but we assure you that this is a one-time requirement in service of full disclosure and policy comprehensiveness.

If you have any questions or concerns about any of the items or forms, leave the item(s) in question blank, and address them with your provider at the start of your first appointment.

Fitness for Duty Evaluations

Individuals seeing Dr. Henrie for a fitness for duty evaluation need to print and complete the relevant forms below in advance and arrive at your evaluation appointment at its scheduled start time. Additionally, you will need to bring any relevant mental health records to your evaluation. 

If you have any questions or concerns about any of the items or forms, leave the item(s) in question blank, and address them with Dr. Henrie at the start of your appointment.

Established Therapy Patients

If you would like your provider to release your records to you or someone else, fill out the Release of Information form below, and give it to your provider at your next session.