Before Your First Appointment
What to Do:
- Complete all required forms before your appointment
- Bring your completed forms with you
- Arrive 15 minutes early for your first visit
- Bring a valid photo ID
Submission Options:
- Download and print your packet below
- Complete forms during your visit (arrive early)
New Patient Packets
One packet has everything you need for your first visit — download it, print it, and take your time filling it out at home.
Adult New Patient Packet
Everything an adult patient completes before the first visit, in one document: practice information, intake and medical history, payment & insurance information, and consent for treatment.
Download Adult New Patient Packet (PDF · 30 pages)Prefer paper? We'll send or provide it when you schedule — call (859) 341-7453.
Child & Adolescent New Patient Packet
The complete packet for patients under 18: parent and child intake, developmental and school history, payment & insurance information, and consent — everything needed for the three-part child evaluation.
Download Child & Adolescent New Patient Packet (PDF · 44 pages)Prefer paper? We'll send or provide it when you schedule — call (859) 341-7453.
Mental Health Assessments
These screening tools help us better understand your symptoms and provide more targeted care. Complete only the assessments that apply to your concerns.
Depression Screening (PHQ-9)
Nine-question assessment to screen for depression symptoms.
Take the online version on our screening page — or we'll provide it at your visit.
Anxiety Screening (GAD-7)
Seven-question assessment for generalized anxiety disorder.
Take the online version on our screening page — or we'll provide it at your visit.
ADHD Self-Report Scale
Comprehensive assessment for adult ADHD symptoms.
Download PDFMood Disorder Questionnaire
Screening tool for bipolar disorder and mood episodes.
Take the online version on our screening page — or we'll provide it at your visit.
PTSD Checklist (PCL-5)
Assessment for post-traumatic stress disorder symptoms.
Take the online version on our screening page — or we'll provide it at your visit.
Specialty Forms
Child/Adolescent Intake
Specialized intake form for patients under 18 years old.
Note: Parent/guardian signature required
Provided when you schedule — call (859) 341-7453.
Couples Therapy Assessment
Relationship history and goals for couples counseling.
Note: Both partners must complete
Provided when you schedule — call (859) 341-7453.
Medication Management Form
Current medications, side effects, and treatment response.
Note: Bring current medication bottles
Provided when you schedule — call (859) 341-7453.
Crisis Safety Plan
Personalized plan for managing mental health crises.
Note: Completed during appointment
Provided when you schedule — call (859) 341-7453.
Need Help with Forms?
If you have questions about completing any forms or need assistance, our staff is here to help. Don't let paperwork prevent you from getting care.
If you're experiencing a psychiatric emergency, call 911 or go to your nearest emergency room.