Office forms
Several of our office forms are available below if you need them. They are also available to complete electronically through the Client Portal. If you'd rather have them mailed or emailed to you, just let us know.
Questions? Call us at 859-442-8439 or email staff@viewpointpsych.com.
New & current client paperwork
Complete what applies to you and return the forms to our office before your first appointment.
New Client Information Paperwork
Fillable intake packet for new clients. Please complete and return to our office before your first appointment.
Download PDFCredit Card Authorization
Authorize a card on file so payments at the time of service are quick and secure. Information is stored securely.
Download PDFTelehealth / Video Therapy Consent
If any part of your therapy will happen by video, review our policies and return this form before your first telehealth session.
Download PDFRelease of Information
Authorizes us to coordinate with another provider, school, or party on your behalf.
Download DOCNotice of Privacy Practices
Our commitment to your privacy under HIPAA. Please read before beginning treatment.
Download PDFDivorced / Separated Parent Policy
If you are seeking services for your child or teen and you are divorced, separated, or in the process — please review and sign so expectations are clear.
DownloadForms for ADHD screening
The forms below are often used to screen for ADHD symptoms. If you have concerns about ADHD, please bring the completed forms with you to your therapy appointment.
NICHQ Vanderbilt — Parent Rating Form
Standard parent-report ADHD screening used in evaluations for children and adolescents.
Download PDFNICHQ Vanderbilt — Teacher Rating Form
Teacher-report companion to the parent form. Teachers can fax completed pages to 859-781-0123.
Download PDFAdult ADHD Self-Report Scale (WHO)
The WHO ASRS — a brief self-report screener for adults exploring an ADHD evaluation.
Download