Forms to Complete Prior to First Appointment

Privacy Practices
Privacy Practices for Couples
History Form for Couples
Child & Adolescent Development History
Adult Developmental History
Release of Information Form
Client Information Form
Informed Consent for Telephone and Teletherapy Services

Local Resources

Alcohol and Other Drug (AODA) Treatment Programs

(608) 266-1865
(888) 701-1251 (TTY)

Briarpatch

608-251-6211

Canopy Center

608-241-2221

Domestic Abuse & Intervention Services

608-251-4445

Family Advocates: Platteville

800-924-2624

Gay Straight Alliance for Safe Schools (GSAFE)

(608) 661-4141

Journey Mental Health Center

(608) 280-2720

NAMI Dane County, Inc.

608-249-7188

NAMI of Southwest Wisconsin

608-348-6136

Passages: Richland Center

800-236-HEAL (4325)

TransParent

(608) 663-8449

Unified Community Services of Iowa-Grant County

Dodgeville:  608-935-2776
Lancaster:  608-935-2776
Toll-free:  1-800-362-5717

United Way of Dane County

(608) 246-4357
2-1-1

University of Wisconsin Pediatric and Adolescent Transgender Health (PATH) Clinic

(608) 263-6420

Wisconsin Psychological Association

608-251-1450