Client Forms
New to OBHS? Start with the Free Consultation Request; it takes two minutes and is the fastest way to connect. You don't need the rest of these forms until after we've talked.
Request a Free Consultation
Tell us a little about your family and what you’re looking for, and we’ll reach out to help you find the right starting point.
New Client Intake and History
Share your child’s background and history so we can truly get to know them before your first session.
Insurance/FES-UA Verification
Send us your insurance or FES-UA details, and we’ll check your coverage at no cost, with no commitment to move forward.
Good Faith Estimate (No Surprises Act)
Request a clear, written estimate of expected costs before you begin, so you always know what to expect.
HIPAA Notice of Privacy Practices
Confirm you’ve received our Notice of Privacy Practices, which explains how your family’s health information is protected.
Financial & Payment Policy Agreement
Review and agree to our fees and payment terms up front, so there are no surprises down the road.
Telehealth Consent & Technology Agreement
For families meeting with us online: confirm you’ve received our Telehealth Policy and consent to telehealth services.
Cancellation & No-Show Policy
Confirm you’ve received our Cancellation & No-Show Policy and agree to its terms.