Forms
*Please complete these forms only when directed to do so by Wolff Child Psychology staff. Thank you.
General Forms
F1. WCP – Child and Family Intake Packet
F2. WCP – Notice of Privacy Practices (HIPAA)
F5. WCP – Fee Information Form – Consultation
F6. WCP – Informed Consent for Telepsychology
F7. WCP – Authorization to Release Information and Records
F8. WCP – Fee Information Form – Therapy
F9. WCP – Executive Functioning Coaching Services
F10. WCP – Academic Executive Functioning Coaching Services
F11. WCP – Comprehensive Evaluation Scope and Policies
Clinician Consent Forms
C1. WCP Informed Consent – Brian Wolff, Ph.D.
C2. WCP Informed Consent – Elizabeth Bruno, Ph.D.
C3. WCP Informed Consent – Nicole Wallace, Ph.D.
C5. WCP Informed Consent – Jessica Torres, Ph.D.
C6. WCP Informed Consent – Danielle Mohr, Ph.D.
C7. WCP Informed Consent – Nikki Pond, Psy.D.
C8. WCP Informed Consent – Hillary Grady-Speckhals, Psy.D.
C9. WCP Informed Consent – Alexandra Manion, Ph.D.
C10. WCP Informed Consent – Cierra Townsend, Ph.D
C11. WCP Informed Consent – Samantha Thedin, Ph.D.