Intake Questionaire

Here is our Intake Questionnaire in PDF format for new clients. You may download and complete this questionnaire at your convenience rather than having to fill it out in our office.

General Authorization (PDF)

This form is our General Authorization form in Adobe PDF Format

General Authorization (DOC)

This form is our General Authorization form in Microsoft Word format (.DOC)

Medical Authorization Hippa (PDF)

This form is for Authorization to disclose health information (PDF)

Medical Authorization Hippa (DOC)

This form is for Authorization to disclose health information (DOC)

Petition for Protection From Abuse

LPOR B v.6.1

Louisiana Uniform Abuse Prevention Order 1

LPOR 1 v.6.1

Louisiana Uniform Abuse Prevention Order 3

LPOR 3 v.6.1