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
Release of Information – click here to download
Important Information about our Practice – click here to download
Cancel Agreement – click here to download
Credit Card Authorization Form – click here to download
New Client Forms
Client Information – click here to download
Child Intake Form – click here to download
Adult Intake Form – click here to download
HIPAA Privacy Policy (Read Only) – click here to download
HIPAA Acknowledgement and Consent Form – click here to download
Forms for Bob Gamble
Client Info Sheet – click here to download
EMDR Consent Form Single Page – click here to download
HIPAA Consent 2018 – click here to download
HIPAA and Informed Consent 2018 – click here to download
