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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.
Intake Paperwork
Adolescent Psychiatric Intake Form
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
Center for Epidemiologic Studies Depression Scale (CES-D)
Medication Agreement Paperwork
Release of Information
Notice of HIPAA Privacy Practices
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.
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