Bay Area Health Psychology  

Intake Forms After Your First Appointment

After your first appointment, we would like you to complete three forms and bring them with you to your next appointment. Please fill in the forms as best you can, and initial and sign the forms where asked to do so.

You can download the forms here. To do so, click on the link for each form below.

You will need a PDF viewer such as Adobe Reader to view the forms. You can also complete the forms using Adobe Acrobat. If you do not have this program, you can download it for free by clicking here.

New Patient Intake Questionnaire
Notice of HIPAA Privacy Practices
Treatment Authorization and Agreement



Telephone: (650) 999-0220

Fax: (855) 999-0220

Our Location: Map
1690 Woodside Road, Suite 221
Redwood City, CA 94061

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This website is for informational purposes only. Information offered in this website does not constitute a professional relationship, advice, or service with or from Bay Area Health Psychology, its providers or affiliates.