Parent/Guardian:

Please review and sign the following (prior to your appointment):

1. Information, Authorization, and Consent to Treatment

2. Notice of Privacy Practices

3. Demographics Form

4. Child Evaluation Intake Form

5. Conners 3 - Parent Response Booklet (please download/print and complete. Then email completed form to sue@psychperformance.com prior to the appointment)

Child’s Teacher Forms:

Please forward to your child’s teacher(s) to complete the following:

1. Teacher Form LINK

2. Conners 3 - Teacher Response Booklet (please have your child’s teacher download/print and complete. Then email the completed form to sue@psychperformance.com prior to the appointment

Please review and sign the following (prior to your appointment):

1. Informed Consent for Coaching (If you are under 18, have your parent (or legal guardian) complete this step).

2. Demographic Form

3. Athlete/Performer Intake form (to be completed by the athlete).