Forms
Printable versions of our forms are available below. If your software does not allow you to read them, click here to download the free Adobe Acrobat Reader.
| Form | Description | Size |
|---|---|---|
| Intake Form | General billing and contact information. To be completed at or before Initial Evaluation | 707K |
| Medical History | Medical, menal health and chemical dependency history. To be completed at or before Initial Evaluation | 562K |
| Consent to Release Information (from Paul Carroll) |
Authorization for Paul Carroll to release information to another party. To be completed when you need Paul Carroll to disclose confidential information with another professional, employer, etc. | 492K |
| Consent to Release Information (to Paul Carroll) |
Authorization for another person to realease confidential information to Paul Carroll. To be completed when you need your doctor or another individual to share information with Paul Carroll. | 485K |