Utah Psychological Associates

Forms

The forms below need to be completed for your intake appointment. You may download, print, and complete them and then bring them with you to your appointment. 

Required Forms:

• Client Intake Form

• Practice Policies Form

• Billing Policies

• Consent to Treat

• HIPPA Policies (keep for your records)

• HIPAA Signature Page

​Optional Forms:

• Release of Information

• Credit Card Billing Form