Looking for a form to download? You’ve found the right spot. To download any of the forms below, simply click on the link to download the PDF.
If you're a new client, please click on the age appropriate INTAKE PACKET
Child- ages 3-18
Adult- ages 18+
Download and complete all of the pages and bring them to your first therapy session.
If you are unable to print out the documents, you may also send the completed documents via email to me at TTRPS@DrRuthieNorman.com
To request a new intake packet to be mailed to a physical address fill out the request form below.
To save time during our first appointment, click on the age appropriate PDF which includes the following documents.
Any questions can be asked during our appointment regarding the forms to ensure your understanding.
If I will be coordinating care with additional providers other than your primary care doctor, The Release of Information form should be completed to authorize release of psychotherapy information. Please complete a separate form for each individual who you authorize for me to coordinate with. Examples: school providers, psychiatrist, community providers, extended family members, your emergency contact, etc.).
The following forms if applicable may require your signature and will be filed into your personal record. All forms will be be reviewed and discussed prior to signing. Please ask any questions or concerns you may have.
The following are tools that may be used to further assess your treatment needs and help provide diagnostic clarification.
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