Lauren B. Yerkes, Psy.D.

Licensed Clinical Psychologist

Client Forms

Notice of Privacy Practices

Please read and review. Printing this form is optional. 

Receipt of Notice of Privacy Practices

Please print and complete after reviewing the Notice of Privacy Practices to bring to your first session.

Office Policies and Procedures

Please print and complete to bring to your first session. 

New Client Intake Form

Please print and complete to bring to your first session.

Consent to Release of Information

This form is necessary only if you would like to grant me permission to release confidential information to another person, provider, or agency.

Please print and complete one form for each person/agency if you would like to grant this permission.