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Forms

If you are new to Theory & Practice, please print, complete, and return the following forms prior to your initial consultation.  We asked that these forms be received in our office no later than two business days prior to your scheduled appointment.  We also encourage you to provide all previous testing, school records, or other relevant information for our review. 

 

Contact and Billing Information

Psychological Services Agreement

HIPAA Acknowledgment 

Current Concerns

Developmental History Questionnaire 

Learning and Behavior Questionnaire

We recommend that you mail the completed forms to 6121 Lakeside Dr. Suite 230, Reno NV 89511 or fax them to 775-800-4990. You may also scan and email the forms in a PDF file to [email protected].  However, please note that because email is not a secure form of communication, confidentiality cannot be guaranteed. 

 

If you have any questions, please do not hesitate to contact our Clinic Coordinator who will be happy to assist you with all necessary forms. She can be reached by phone at 775-786-7881 or email at [email protected].