Forms
Intake Form for Minor Evaluation
Information about school, family, and social functioning, plus reasons and goals for the evaluation.
Document formats: Adobe Acrobat (PDF)Release Form
Allows Dr. Frank to speak to people in the client’s life (e.g., former therapist, medical doctor, teacher, tutor).
Document formats: Microsoft Word (DOCX), Adobe Acrobat (PDF)Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Document formats: Adobe Acrobat (PDF)Telehealth Consent Form
Informed consent agreement for telepsychology via video conferencing.
Document formats: Microsoft Word (DOCX), Adobe Acrobat (PDF)
