Forms

Please download the forms you need and bring them to your appointment.

Please download the forms you need and bring them to your appointment.

Practice Forms

Professional Disclosure Statement

Information Form

Consent to Treat

Agreement to Pay

Confidentiality Overview

HIPAA Notice of Privacy Practices

Mediation Forms

Greetings from Barbara Melton RE MEDIATION

Mediation Worksheet

Mediation Rules

Mediation Brochure

Family Mediation Intake Form

Child Support Guidelines 2014

Agreement to Mediate

Newest Financial Declaration Form

Visitation Forms

Therapeutic Visitation Oversight Supervision Agreement

Supervision Forms

Supervision Log

Supervision Log Direct Client Contact

Supervision Contract Barbara Melton

Supervisee Information Sheet

Reply To Inquiry Letter

Reciprocal Release Of Information

Client List Form

Test Taking Tips

Permission to Audiotape

Release: re: file

Contact Barbara today to learn how she can be helpful to you!