For child under the age of 18:

Child History Form	Child Rating Scales
Consent to Release to Insurance Co.	Email and Phone Information
Please select the informed consent form for the therapist you are seeing:
Mary Mikalson, MSSW	Mindy Haseleu, Psy.D.
Tanya Green, MSW, LCSW	Levy O'Brion, MS, LPC

For an adult:

Adult History Form	Adult Rating Scales
Consent to Release to Insurance Co.	Email and Phone Information
Please select the informed consent form for the therapist you are seeing:
Mary Mikalson, MSSW	Mindy Haseleu, Psy.D.
Tanya Green, MSW, LCSW	Levy O'Brion, MS, LPC