Booking & Documents

Hey! Thanks for booking!

Still need to book an initial consultation with master-level, clinical interns?

If you are unable to access the calendar, you may call or email to set a 20 minute screening phone consult for treatment, please provide the following information in your message:

  • Caller Information (if different than client)

  • Client age

  • What insurance if any you hope to use for the services (see Cost & Insurance for what programs/networks are in-network) If using insurance to pay for services, note that insurance will only pay for ONE service per day. Additional services for the same day may be booked private pay. Initial consultation over the phone does NOT constitute a "service" for insurance purposes and has no cost.

  • Best call back phone number

  • When you'll be available to take a quick call over the next few days, to schedule your consult.

Be aware that the call may come from a blocked, private or out of state phone number and be prepared to answer the phone.

For a list of current service fees, see the Cost & Insurance main page.

Documents and Forms

To retrieve a form from this website, click on the links below. Then you will be able to view and print the documents to complete.

Upon intake for clinical services, please complete the Informed Consent, Notice of Privacy Practices and Release of Information (ROI) documents. An ROI needs to be on file for your primary care physician, prescriber if you are working with one, and your emergency contact. Additional ROIs may be completed at your discretion, such as for school, or any recent or current clinician.

Adult Demographic Form

Minor Demographic Form

Client Medication List

Informed Consent

Notice of Teaching Practice

Notice of Privacy Practices

Release of Information

Social Media Policy

NH Mental Health Bill of Rights

Records Request Form