The forms below are in PDF format. If you do not already have a PDF reader, you can go here and download one for free. You will need to download the files to read them, once downloaded, you may print them off.

Forms for Dr. Martha Durham

pdficon   Release of Informationclick here to download

 

New Client Forms

pdficon   Client Informationclick here to download

pdficon   Child Intake Form click here to download

pdficon   Adult Intake Form click here to download

pdficon   HIPAA Privacy Policy (Read Only)click here to download

pdficon   HIPAA Acknowledgement and Consent Formclick here to download

 

Forms for Bob Gamble

pdficon   Client Info Sheet – click here to download

pdficon   EMDR Consent Form Single Page – click here to download

pdficon   HIPAA Consent 2018 – click here to download

pdficon    HIPAA and Informed Consent 2018 – click here to download