Adult Forms

For Individual or Couples Therapy and if the patient is 18 years old or older.

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Individuals, please complete both forms below.

Couples, please complete one copy of the Registration forms and a Life History Questionnaire for each individual.

When you click on the underlined links, they will open in a new window so you can print out the forms. Then you will need to fill in the forms in by hand.

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Please bring completed forms to your first appointment.

HDC Adult Form Image


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The forms on this site require Adobe Reader which can be downloaded for free at

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