Client Forms

To begin therapy, please complete the intake forms that match your session type below. Once submitted, you'll receive a signed copy for your records.

Available Forms

Consent for TH Services

Consent for telehealth services to clients

Disclosure Statement

Important information about our services and policies

Release of Information

Authorization to share information with other healthcare providers

Minor Consent Forms

Required forms for clients under 18 years of age

Privacy Practices Notice

Information about how we protect your privacy and health information

Consent for In-Person Services

Consent for in-person services to clients

Consent for TH Services

Download
Loading PDF...

Our Office

True North Psychological Services

108 W Washington St

Waiting Room Suite 204

Middleburg

VA 20117

United States

View on Google Maps

Office Hours

Monday-Friday 8am-8pm

Occasional Weekends