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Vanda Logo
Vanda Counseling & Psychological Services
  • About Us
    • Our Mission
    • Our Core Values
    • Our Commitment to Diversity and Equity
    • Our Locations
  • Services
    • Overview
    • How We Can Help
    • Individual Therapy
    • Couples Counseling
    • Family Therapy
    • Group Therapy
    • School-Based Services
    • Nutrition Services
  • Therapeutic Approaches
    • Overview
    • Trauma Therapy
      • EMDR Therapy
      • Sensorimotor Psychotherapy
      • Trauma-focused cognitive behavioral therapy
      • Accelerated resolution therapy
      • Prolonged Exposure
    • Mindfulness Based Therapy
    • Emotionally Focused Therapy
    • Cognitive Behavioral Therapy
    • Dialectical Behavior Therapy
    • Acceptance & Commitment Therapy
    • Strengths-Based Therapy
    • Play Therapy for Children
  • Resources
    • General Crisis and Emergency Numbers
    • Local Hotlines
    • FAQs
  • Our Providers
  • Contact Us
  • Book Appointment
  • Locations
  • Work at Vanda
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Forms

Adult

*Credit Card Authorization Form

*Vanda Counseling - Intake Form - Adult

*Release of Information

*Electronic Communication Consent

*Telemedicine Informed Consent Form

*Consent for Treatment

WHODAS (Adults)

Ace Questions (Adults)

GAIN - Short Screener (Adults)

*CAGE AID (Adults)

*GAD-7

*PHQ-9

*No Show/Late Cancellation Policy

* indicates required forms

Minor

*Credit Card Authorization Form

*Release of Information

*Electronic Communication Consent

*Telemedicine Informed Consent Form

*Consent for Treatment

(age 12+) GAD-7

(age 12+) PHQ-9

*Child/Adolescent Intake Form

*Minor policy

SDQ Form Parent Report ages 11-17

SDQ Form Youth ages 11-17

SDQ Form Parent Report ages 4-10

*No Show/Late Cancellation Policy

School-Based

Credit Card Authorization Form

Consent to Release or Exchange Information School-Based Mental Health Services

School-Based Referral Form

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