Getting Started with Katie

If you have access to this page, this means we have spoken and agreed to move forward with working together. You can access all of your paperwork below, as well as schedule your appointment. If you have any questions, feel free to reach out to me at katie@playtimetherapy.org and I am happy to help.
Every client needs to fill out the following:
 
1) Intake Form for appropriate age
2) Informed Consent Form
3) Medication Agreement Form
4) HIPAA Acknowledgement Form
 
This paperwork must be submitted prior to your appointment with me so I can review it and have it on file.

Intake Paperwork

Child Psychiatric Intake Form (Ages 4-12)

Adolescent Psychiatric Intake Form (Ages 13-17)

Adult Psychiatric Intake Form (Ages 18+)

Informed Consent

Informed Consent Form for Psychiatric Services

Screeners

NICHQ- Vanderbilt Assessment Scale – Teachers

NICHQ- Vanderbilt Assessment Scale – Parent

NICHQ- Vanderbilt Assessment Parent Follow Up

Pediatric Symptom Checklist

Mood Disorder Questionnaire

Center for Epidemiologic Studies Depression Scale (CES-D)

Medication Agreement Paperwork

Medication Agreement Form

Release of Information

ROI Form

Notice of HIPAA Privacy Practices

HIPAA Acknowledgment Form

Appointment Scheduling

I allow self-scheduling to make it easier for families to schedule appointments without waiting on me to confirm my availability. Below is a link to my calendar. To schedule an appointment, click on the date you’d like and it will display all of my available appointments for that day. It allows you to book a minimum of 48 hours ahead of time and as far in advance as you’d like.  All appointments are virtual. Your appointment confirmation will be emailed to you automatically and will include a link to our meeting. All virtual meetings take place within my HIPAA-compliant version of Google Meet.

Please note: for medication management for children/adolescents, your child must be present for a portion of the appointment.  This includes intakes and follow up appointments.

For all available appointments click my calendar link here: https://playtimetherapy.org/schedule-an-appointment-with-katie/

Once you reserve your appointment, it will send you a reminder email 72 hours and 2 hours prior to your appointment.

I look forward to working with you!

-Katie