• Home
  • About
    • Services
    • Rates
  • Staff
  • Forms
    • Questionnaire (Adult)
    • Questionnaire (Child)
    • HIPAA Notice
    • Service Agreement
  • Sports Mental Health
  • Foundation
  • Contact/Make An Appointment
  • Home
  • About
    • Services
    • Rates
  • Staff
  • Forms
    • Questionnaire (Adult)
    • Questionnaire (Child)
    • HIPAA Notice
    • Service Agreement
  • Sports Mental Health
  • Foundation
  • Contact/Make An Appointment
Ross Behavioral Group | The Ross Center

615-338-6341

Forms

If you are a new client, please read the documents below.  They explain in detail the policies and procedures you are agreeing to as a client, as well as your rights according to the Health Insurance Portability and Accountability Act (HIPAA). 

These documents will remain available on the website for you to reference or print at a later time if you would like.  Please contact your therapist directly about any questions you may have regarding your responsibilities and/or rights as a client.


The "Initial Paperwork" document is to be completed and brought to your first session.  If you do not have access to a printer, please notify us and we will have a paper copy for you to complete in the waiting room.  To avoid the unnecessary use of your therapy hour in such cases, clients are encouraged to arrive at least 20 minutes prior to their initial appointment to complete the paperwork.

Initial Client Questionnaire (Adult)
File Size: 110 kb
File Type: pdf
Download File

Initial Client Questionnaire (Child & Adolescent)
File Size: 111 kb
File Type: pdf
Download File

Client-Therapist Service Agreement
File Size: 74 kb
File Type: pdf
Download File

Health Insurance Portability and Accountability Act (HIPAA)
File Size: 69 kb
File Type: pdf
Download File

To download Adobe Reader for free, click here.
Ross Behavioral Group  | 133 Indian Lake Road, Ste. 204  Hendersonville, TN 37075 | ( 615) 338-6341