Thank you for your interest in working with Tiffany Griffiths and Associates.

The first step is to request an intake appointment where a diagnostic assessment will be conducted to determine if the practice is the best fit for your needs. If it is determined that the practice is a good fit for your needs, it will also be determined what therapist is the best fit for your needs.

You may download, print out, and bring the intake forms (below) to your intake appointment.

Standard Forms for Adults Seeking Treatment (anyone 14 and over):

• Adult Consent
• Client Registration
• HIPAA
• Policies & Procedures
• Form Completion Policy

Standard Forms for Children Seeking Treatment (anyone 13 and under):

• Child Consent
• Client Registration
• HIPAA
• Policies & Procedures
• Form Completion Policy

Standard Forms for Couples or Families Seeking Treatment

(person who will be utilizing insurance, if applicable, should fill out the client registration form for families and 2 sets of paperwork should be completed for blended families; for couples each partner should fill out a set of paperwork):

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• Adult Consent
• Client Registration
• HIPAA
• Policies & Procedures
• Form Completion Policy

Forms for Psychological Testing (anyone 13 and under):

• Testing Consent for Children
• Informed Consent & Awareness Declaration
• Social Developmental History Questionnaire
• Client Registration
• HIPAA
• Policies & Procedures
• Form Completion Policy
• Medication Document

Forms for Psychological Testing (14 and over):

• Adult Testing Consent
• Client Registration
• HIPAA
• Policies & Procedures
• Form Completion Policy

Forms for Medication Management (14 and over):

• Client Registration
• HIPAA
• Adult Medication Consent
• Policies & Procedures
• Release Information (Please complete one for child's Primary Care Physician and one for their therapist if seen outside this practice. Thank you.)
• Form Completion Policy

Forms for Medication Management (13 and under):

• Client Registration
• HIPAA
• Child Medication Consent
• Policies & Procedures
• Release Information (Please complete one for child's Primary Care Physician and one for their therapist if seen outside this practice. Thank you.)
• Form Completion Policy

Forms for Virtual Therapy (14 and over):

• Adult Consent
• Client Registration
• HIPAA
• Policies & Procedures
• Virtual Therapy Consent
• Form Completion Policy

Forms for Virtual Therapy (13 and under):

• Child Consent
• Client Registration
• HIPAA
• Policies & Procedures
• Virtual Therapy Consent
• Form Completion Policy

Forms for Independent Educational Evaluations:

• Client Registration
• Independent Educational Evaluation/Expert Witness Testimony Contract
• Child Consent for Testing/Independent Educational Evaluations
• HIPAA
• Release of Information (Please complete one for the school district and one for your attorney. Thank you.)

NOTE: Click to download and Print PDF Pages (PDF pages require Adobe Reader. Click here for free download)
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