Forms

To make your first visit to Silber Psychological Services as smooth and efficient as possible, we ask that you complete the necessary forms prior to your appointment. These forms help us gather important information about your medical history, current concerns, and treatment goals, allowing our clinicians to provide the best possible care from the very first session.

Below, you’ll find all the forms required for new patients, as well as additional forms that may be helpful throughout your treatment.


Privacy Policy

We are required by law to inform you about your privacy rights and you may click on Privacy Policy (HIPAA NPP) and download a copy or ask for a copy at our office. In addition we ask that you sign our Business Policy and Patient Agreement indicating that you have had this opportunity.

Good Faith Estimate

You can download our Good Faith Estimate here.

Forms for Child/Adolescent Patients (Ages 3-17)

For children and adolescents, it’s essential that we gather information from both the parent/guardian and the patient to better understand the child’s history, development, and current concerns. Please complete all of the following forms:

Forms for College Student Patients (Ages 18-25)

College students often face unique challenges, and these forms help us gather the right information to address issues such as academic stress, transitioning to adulthood, and more. Please complete the following:

Forms for Adult Patients (Ages 26 and Older)

Adults seeking therapy or psychological assessments should complete the following forms prior to their first appointment:

Additional/Miscellaneous Forms

Please complete the following forms if you were asked to by our office:

Questions About Forms?

If you have any questions about which forms to complete or how to submit them, feel free to contact us. We are here to assist you in making the process as easy as possible.