To access the form(s) assigned in your Welcome Letter:
Please follow the directions below:
- INITIAL VISIT FORMS (ADULTS)
(Forms 1 or 2, click on the link & enter your full name and email address).
2. Office Policies & General Information
3. Privacy of Information Policies
- LIST OF QUESTIONNAIRES
4. The Gottman Relationship Checkup (Click on the link: Enter your first & last name and email address)
5. Outcome Questionnaire (OQ-45) (Enter your Medical Identification Number and DOB: mm/dd/yyyy)
- CHILDREN & ADOLESCENTS
(Enter your name (parent or guardian) and email address)
6. Adolescent Mental Health questionnaire
7. Children’s Mental Health Questionnaire
9. Maternal Distress Questionnaire
10. Outcome Questionnaire (YOQ-2.0) (Click on the link & enter your Medical Identification Number and DOB: mm/dd/yyyy)
- SPECIAL CIRCUMSTANCES EVALUATIONS
(To access a form click on the link and when requested enter my name Stapp, Lonnie and your unique client ID)
11. Post Traumatic Disorder Inventory (PTSI-R)
12. Sexual Dependency Inventory (SDI-4.0)
13. The “Betrayal Bond” Index Test (BBI)
14. Partner Sexuality Survey (PSS)
15. Sexual Addiction Screening Test (SAST)
While convenience and thoroughness are important, confidentiality and security of your information remain a top priority.
We designed the forms to assure your information remains private, secure, and HIPAA compliant.
If you have any questions, suggestions, or technical issues feel free to call our office (208) 771-5510.