Scheduling / Forms

PATRICIA WORTHEY PhD PSYCHOLOGIST

For NEW CLIENTS, CLICK ON FORMS TO PRINT:

         Child / Adolescent Outpatient Services Contract
       Child/ Adolescent History Information Form

   Adult / Couple Outpatient Services Contract
       Adult/ Couple History Information Form

HIPPA Form (Confidentiality)

For ESTABLISHED CLIENTS,
Click this button to schedule
online with Dr. Worthey: