Forms

If you are a new client, please complete the following forms and bring them to your first session.

• Child and Adolescent Intake Form
• Adult Intake Form
• High Plains Privacy Notice
• Good Faith Estimate

If you would like Dr. Barth or Ms. Fuller to coordinate care with another provider (for example, a psychiatrist, primary care physician, etc.), complete this form to authorize release/exchange of information:

• Authorization for Exchange of Information 

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