THRIVE PSYCHOLOGICAL AND CONSULTING SERVICES
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Thrive Psychological and Consulting Services

EMPOWERING INDIVIDUALS AND FAMILIES TO THRIVE
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INTAKE FORMS

Please complete the following forms and bring them to your initial appointment.
​​Developmental History
This form covers important information such as the child's developmental history, academic history, health, and referral concerns.

​​Release of Information

This form allows Thrive Psychological and Consulting Services, LLC to obtain information from other professionals working with your child.

​Fees and Consent -Evaluation: Child
​​Fees and Consent -Evaluation: Adult
​Fees and Consent -Screener

This form includes the fee agreement, consent for testing, and confidentiality statement. This must be signed before testing can take place.

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  • Home
  • Services
  • Mental Health Counseling
  • Psychological Evaluations
  • Fees
  • Dyslexia
  • Resources
  • Forms
  • Contact
  • About
  • Special Education