Forms

Consent & Intake Forms

Fill these out and bring them to your first visit. Please download the files from the links below.


Forms For Stephanie Rosebaugh

  1. Stephanie Rosebaugh – Informed Consent Form
  2. Stephanie Rosebaugh – Intake Form
  3. Child & Adolescent Intake Form
  4. Trauma Symptoms Checklist

Forms For Kyle Rosebaugh

  1. Kyle Rosebaugh – Informed Consent Form
  2. Kyle Rosebaugh – Intake Form
  3. Child & Adolescent Intake Form

Forms for Lori Kidd

  1. Lori Kidd – Informed Consent Form
  2. Lori Kidd – Intake Form
  3. Child & Adolescent Intake Form

Forms for Tracey Small

  1. Tracey Small – Informed Consent Form
  2. Tracey Small – Intake Form
  3. Child & Adolescent Intake Form

Forms For Dr. Stacie Brown

  1. Dr. Stacie Brown – Informed Consent Form
  2. Dr. Stacie Brown – Intake Form
  3. Child & Adolescent Intake Form

Forms For Devan Mckenzie

  1. Devan Mckenzie – Informed Consent Form
  2. Devan Mckenzie – Intake Form
  3. Child & Adolescent Intake Form