The following forms can be printed off and completed at home for your convenience.

Please bring them with you to your appointment.

FORMS

CASE HISTORY FORM


CONSENT FOR SERVICES FORMS


TERMS OF PAYMENT AGREEMENT


FEE SCHEDULE










201 Massachusetts Ave. N.E., C-9, Washington, D.C.  20002 | 202-544-5469  |  leslie.humes@capitolkidstherapy.com
Copyright 2015. Capital Kids Therapy, LLC. All rights reserved.