Individual Forms Online | bridgescounseling

Individual forms are below and be completed online. They will be delivered to Bridges via a secure, HIPPA compliant electronic submission.

Please remember to bring a picture ID and

insurance card to your first appointment.

Forms

Pre-Evaluation Questionnaire

Patient Health Questionnaire

Office Registration & Payment Form

Expectations & Commitments Form

HIPAA Form

Mood and Sleep Diary

This form helps you track your anxiety, sleep, pain, and medications.

Please start using this prior to your first appointment and bring it with you at that time. It provides valuable information to both you and your provider.