Client Forms
Please download and print these forms.
You may submit completed forms to us by email at info@sevenhillspsychology.com
New Client Registration
Information about yourself and why you are seeking services with Seven Hills Psychology.
HIPAA Notice of Privacy Practices
Privacy practices of Seven Hills Psychology and copy of your HIPAA rights.
Informed Consent to Treatment
Client information and informed consent for psychotherapy and/or psychological evaluation with Seven Hills Psychology.
Authorization for Release of Information
Form authorizing Seven Hills Psychology to release your protected health information to others.
If you would like us to speak with a significant other, previous healthcare provider, or anyone else about services you are receiving with us, please fill out a form for each individual or practice.
Billing Form
Credit Card Information and Authorization that is kept on file