Clinic Forms

These forms can be printed and brought to the Clinic, or they can be emailed to counseling@tmentalhealth.com

Intake Forms

A completed intake packet and a copy of insurance cards are required prior to being scheduled for services. Please call the front desk if you have any questions while filling them out.

Release of Information

This form is used to release your protected health information as required by federal and state privacy laws. Your authorization allows The Clinic to release your protected health information to a person or organization that you choose.