Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

• Personal Info (1 page)
• Consent For Treatment (1 page)
  
• Life History Questionnaire (8 pages)

If you would like Dr. Wagner to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

• Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader, click here .