Download the appropriate form by clicking on its name.

New Client Registration Form & Agreement

COVID Waiver Form

HIPAA Notice of Privacy Practices Statement

Release of Information Form

Medicare Beneficiaries

Ivy Pay Electronic Payment Information Consent Form

Therapist Intake Form (For Therapists ONLY)

Gwen Enfield Pearl, LCSW & Gail Guttmann, LCSW
Guttmann & Pearl Therapy Founders