Client Forms

(1) This document contains information for new patients seeking psychological treatment (in individual, couples, and/or family psychotherapy), psychological assessment, and/or immigration evaluation. The purpose of this document is to provide sufficient information to answer questions that you might have regarding treatment and allow you to make an informed decision before proceeding.

This form must be signed and agreed upon before starting service.  I apologize for the length of this document, but it’s important to understand my provided psychological services.  Please read and initial each section, regardless if it pertains to you.

(2) This document is a client information form that I ask you to fill out before we meet.  It contains information that will be helpful in your treatment or assessment, and will save us time when we meet.

(3) This notice describes how psychological and medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully and sign the bottom of the last page to signify receipt.

This document authorizes Dr. Ramotar to release necessary information to another party.  For example, your lawyer may need to view and utilize your evaluation to support your immigration case in court.  Releasing information is voluntary, and you can never be forced to sign such a form.