*Please complete these forms *only* when directed to do so by Wolff Child Psychology staff. Thank you.

General Forms

F1. WCP - Child and Family Intake Packet
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F2. WCP - Notice of Privacy Practices (HIPAA)

F5. WCP - Fee Information Form - Consultation

F6. WCP - Informed Consent for Telepsychology

F7. WCP - Authorization to Release Information and Records

F8. WCP - Fee Information Form - Therapy

F9. WCP - Behavioral Coaching Services

F10. WCP - Academic Coaching Services

F11. WCP - Comprehensive Evaluation Scope and Policies


Clinician Consent Forms

C1. WCP Informed Consent - Brian Wolff, Ph.D.

C2. WCP Informed Consent - Elizabeth Bruno, Ph.D.

C3. WCP Informed Consent - Nicole Wallace, Ph.D.

C5. WCP Informed Consent - Jessica Torres, Ph.D.

C6. WCP Informed Consent - Danielle Mohr, Ph.D.

C7. WCP Informed Consent - Nikki Pond, Psy.D.

​C8. WCP Informed Consent - Hillary Grady-Speckhals, Psy.D.

C9. WCP Informed Consent - Alexandra Manion, Ph.D.

C10. WCP Informed Consent - Cierra Townsend, M.A., Ph.D. Candidate

​C11. WCP Informed Consent - Samantha English, Ph.D.

​C12. WCP Informed Consent - Anni Subar, M.A., Ph.D. Candidate

C13. WCP Informed Consent - Cassie Svelnys, M.A., Ph.D. Candidate

C14. WCP Informed Consent - Kim Bowers, M.A., Ph.D. Candidate

C15. WCP Informed Consent - Stefanie Limberger, Psy.D.

C17. WCP Informed Consent - Art Therapy Group