Client Forms

New clients will need to fill out several forms before treatment can begin. To make the process as smooth and efficient as possible, we provide the most important documents through our client portal before your first session.  Access to the client portal will be emailed to you.  Please fill out all of the forms before meeting with your therapist.  There may be some additional forms that would be helpful to complete before therapy or during the process.  Those forms are available for download here. 

If you have any questions, don’t hesitate to contact us.

New Client Forms for clients of Michelle Massi

Authorization Form

This form allows me to exchange information with psychiatrists, school officials, and others we deem an important part of the treatment process.
Authorization Form_ATLA 2017

New Client Forms for clients of Marni Baim

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf

Authorization Form – Marni Baim, LCSW

This form allows me to exchange information with psychiatrists, school officials, and others we deem an important part of the treatment process.
Authorization Form_MB_ATLA

New Client Forms for clients of  Nicholas Jewell

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf

Authorization Form – Nicholas Jewell, PsyD

This form allows me to exchange information with psychiatrists, school officials, and others we deem an important part of the treatment process.
Authorization Form_NJ_ATLA

New Client Forms for clients of Maythal Eshaghian

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf

New Client Forms for clients of  Tanaz Sadeghi

Health Background Information Sheet

Medical and emotional health background information sheet. Please fill out and bring to the first session along with the treatment agreement.
Biopsychosocial History Form Updated.pdf

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Information for Client welfare: Click here to access information regarding “Professional Therapy Never Includes Sex