Amy Luzar, LISW-S

Amy Luzar, LISW-SAmy Luzar, LISW-SAmy Luzar, LISW-S
  • Home
  • Background
  • Office Forms
  • Groups/Classes
  • Contact Us
  • Resources
    • Home
    • Background
    • Office Forms
    • Groups/Classes
    • Contact Us
    • Resources

Amy Luzar, LISW-S

Amy Luzar, LISW-SAmy Luzar, LISW-SAmy Luzar, LISW-S
  • Home
  • Background
  • Office Forms
  • Groups/Classes
  • Contact Us
  • Resources

Forms

The following forms are needed prior to our first session.  For a paperless option, all forms can be opened in Adobe Acrobat Reader which will allow you to fill and sign the forms.  It is a free program and can be downloaded from Adobe.  Please follow the instructions for installation.  Please email, mail or drop off the forms before our first session.


  • New Client Forms - Please complete and return these forms to me before our initial appointment.
  • Parent Questionnaire - This questionnaire lets you provide me with background information concerning your child.
  • Teen Questionnaire - This form provides your teen with a confidential opportunity to provide personal information  and should be used only at your therapist’s request.
  • There is no need to print or return the NPP.  

New Client Forms (pdf)Download
Parent Questionnaire (pdf)Download
Teen Questionnaire (pdf)Download
Teen Personal Growth Group Registration Form (pdf)Download
Release of Information (ROI) (pdf)Download
Read Only_AL_Notice of Privacy Practices (NPP) (pdf)Download

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