A Family Psychology Practice providing Expert, Developmentally – Appropriate Care, that is Individualized, Mindful and Effective.

Specialists
Research Study
Groups
Therapies
Assessments

Intake Forms

Forms to Complete:

You may print and complete forms by hand and then scan/take picture and email to intake@myketandassociates.com.

OR:

VERY IMPORTANT INSTRUCTIONS:

Download form to your device and save as YourLastNameFormType (ie. SmithConsent.pdf, SmithIntake.pdf). Open your saved file in Adobe Acrobat Reader. Fill in. Save or Save As if needed.  Close file. REopen to make sure your changes were made. Email to intake@myketandassociates.com. 

(If you use the browser file to fill in your form, it will not save any of your text.)

Forms to Review

History Form ONLY for the Autism Spectrum and Developmental Disorders Clinic. If you are seeing a clinician for ASD or Developmental concerns, please use this form instead of standard history form. 

Group Forms