Sendan CenterNew Patient Forms
To complete and submit forms online:
New Patient Forms:
Prospective Patient Inquiry Form (start here if you are seeking services of any sort!)
Sendan Intake Packet (fill out if directed by our Psychiatry and Psychotherapy scheduling team)
Sendan Learning Services Intake Packet (fill out if you are seeking learning services, including learning assessments, executive functioning coaching, and learning/language therapy)
For ABA Services only:
Other Forms
To print and complete forms by hand:
Sendan New Patient Forms (printable)
Learning Services New Patient Forms (printable)
Telehealth Consent Form (printable)
Release of Information (printable)
Parent or Guardian Consent for Treatment (printable)
Patient (age 13+) Consent for Treatment (printable)
Financial Agreement (printable)
For ABA Services only: ABA Parent Manual
To submit a document to our secure, third-party document portal, click this link: Send a Document