Download and complete forms before your first appointment. 
​
​Send completed forms to  info@gentle-shepherd.com

      Adult
    ​        
     Consent to Treatment

​     Health Insurance Claim   OR   Self-Pay Application

     Policies and Procedures
    
     Telehealth Consent 

      Adult History Form



​
      *Marriage Consent Form

       *Authorization to Release of Information
      





​









​
​

​​


​

​

​

​

​


​
​

---

Child/Adolescent

Consent to Treat Under 18

​Health Insurance Claim   OR  ​ Self-Pay Application

Policies and Procedures

Telehealth Consent 

Child and Adolescent History Form



​
*Teen checklist  (14yr -17 yrs)


​

​​
​