

1201 Wakarusa Dr., Suite E2, Lawrence, Kansas 66049 • (785) 330-3493 • info@tlc-center.com
The following forms need to be completed prior to your first
appointment.
Information Sheet (72 Kb PDF)
HIPAA Notice of Privacy Practices (204 Kb PDF)
Psychotherapist-Patient Services Agreement (112 Kb PDF)
Client Report of Problem (96 Kb PDF)
All forms are saved as Adobe Acrobat PDF files.You can download the free Acrobat Reader from Adobe's web site.