resized-halifax-flowerMy New Patient Information form can be filled out on your computer for your convenience. If you wish to download the file, please right click the link and select “save as” or “download”. Adobe Reader must be installed on your computer to view PDFs and fill out the new patient form. If you don’t have Adobe Reader, click here for a free download. ¬†You may also fill out the form in your browser by simply clicking the link below which will open the form in a new window.

New Client Information Form

Mary Bradley’s Practice Statement

HIPAA Notice of Privacy Practices

Acknowledgment of Receipt of HIPAA Privacy Practices

Teletherapy Consent Form

Credit Card Information Form