Forms

New Client Forms

For new clients:

New Client Intake Form

Office Policies and Consent for services:

Office Policies & Procedures

Consent for Services

Drug & Alcohol Evaluation Forms

Instructions for taking the SALCE Evaluation

SALCE- Pre-Evaluation Forms
 

Gender Therapy Forms

Letter for Gender Affirming Surgery and Consent

Letter for Chest Masculinization Surgery

Letter for Hormones – (Consent Form)

Letter Request – (Required for all letters)

Gender History

Family Comments – Child and Adolescent History

Gender Glossary

Additional Forms

Authorization for the Release of Confidential Information

Letter Request – (Required for all letters)

Enneagram

Family of Origin History