Electronic Fill-In Client Forms
For your convenience and to save time before your first appointment, we have provided the required forms that you will need to complete for your first appointment. By completing the documents before you arrive, you prevent the need to arrive early for paperwork.
IMPORTANT NOTE: The electronic-fill forms' 'Submit' buttons only work when the file is opened in Adobe Acrobat Reader, rather than opening it in your browser.
Open with Adobe Acrobat:
1. BEFORE completing a form, download/save the form files to your device (computer, phone, tablet):
a. Right-click the desired form.
b. Select 'Save link as', rename the file as form title, and then select where you want to save the file.
2. Open downloaded file in Adobe Acrobat:
a. Locate the downloaded form file (using PC File Explorer OR MAC Finder).
b. Right-click the form.
c. Click 'Open with Adobe Acrobat Reader'.
d. Fill in all appropriate fields.
e. Click the 'Submit to Hoxworth Counseling' button to automatically email it to us.
Note: You should be prompted for the email program you want to use. If you are not prompted, you may have opened the file in your browser instead of using Adobe Acrobat Reader; your file will NOT be sent when you click the 'Submit' button.
Note: We recommend that you also download/save the forms for your records, and so you can print in case we don't receive them via email.
If you don't have Adobe Acrobat Reader, open file in Browser
If you cannot use Adobe Acrobat Reader, you can still electronically complete the forms, and then bring them with you to your first appointment.
a. Click on the desired form; it will open in your browser.
b. Fill in the appropriate form fields (do not click the Submit to Hoxworth button).
c. Click the print button to print the form.
Note: We recommend that you also download/save the forms so you can easily make changes if necessary, and then re-print.
d. Sign the printed forms; bring them with you to your first appointment.
1. Cover Letter
LENS Neurofeedback forms:
MINOR (child/adolescent) Client
1. Cover Letter
LENS Neurofeedback forms