George B. Haarman, Psy.D.,LMFT Licensed Clinical Psychologist Licensed Marriage and Family Therapist Licensed Clinical Psychologist Licensed Marriage and Family Therapist
   George B. Haarman, Psy.D.,LMFT Licensed Clinical PsychologistLicensed Marriage and Family Therapist      Licensed Clinical PsychologistLicensed Marriage and Family Therapist

Patient Forms

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

New Patient Information Sheet
Contains essential patient information as it relates to treatment. completing this form prior to your first visit will allow us to more clearly understand you and your unique situation.
NewPatientIntake.pdf
Adobe Acrobat document [220.3 KB]
Patient Therapist Agreement
This document details your rights and responsibilities as a patient of Dr George B. Haarman. We are bound by these terms, and ask in return that you agree to them as well.
Patient-Therapist-Services-Agreement.pdf
Adobe Acrobat document [80.3 KB]
Life History Questionnaire
For adults undergoing psychological testing or entering into therapy, completing the Life History Questionnaire will provide Dr. Haarman with sufficient background information regarding you situation.
Life History Questionnaire.pdf
Adobe Acrobat document [145.9 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Where to Find Us:

George B. Haarman,Psy.D.,LMFT

1400 Browns Ln. Unit B

Louisville, KY 40207 

 

Phone: 502 721-7522

 

Map

Office Hours

Monday-Thursday 9am-7pm  

Patient Forms

New patient? Save time and reduce the amount of paperwork you have to fill out at your first visit. We provide several patient forms as PDF downloads on our site.

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