The Mandel Center of Arizona

The forms listed below must be filled out before a client can be treated at the Mandel Center of Arizona. All forms are available in the office, but printing them out and filling them in before your first appointment will save time.

PDF Document Personal Information Sheet
Psychotherapist-Client Service Agreement
Health Information Disclosure
Notice of Privacy Practices
Counseling Treatment Plan
Initial Assesment
Credit Card Authorization
Telemental Health Consent