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Index this page
Bring copies	Required forms	Notify guardians	Young kids?	Adult concerns?	ADD/ADHD concerns	Forensic services	Confidentiality & releases

"What paperwork should I prepare
for my first meeting with Dr. Garber?"

Please copy all relevant existing paperwork.

Please bring copies of all background materials you've collected, including (but not limited to): school grade reports, summaries of past psychotherapies, medical reports, court documents and test reports

Please print the required forms packet:

Is the intended client/patient a child? If so, please print out, read and sign the introductory forms package explaining Dr. Garber's practice and procedures, your rights and the limits relevant to your participation in psychological services. (With apologies, this packet includes lengthy forms required under the federal HIPAA legislation effective 14 April, 2003.)
Is the intended client/patient an adult? Perhaps you? If so, please print out, read and sign the introductory forms package explaining Dr. Garber's practice and procedures, your rights and the limits relevant to your participation in psychological services. (With apologies, this packet includes lengthy forms required under the federal HIPAA legislation effective 14 April, 2003.)

Do you share legal decision making authority (custody)
for a child in need of psychological services?

If you are calling Dr. Garber about a child AND you have shared or joint legal custody with another adult, the law requires that the other legal custodian(s) be alerted. For example: A divorced mother shares legal custody and wants help with her son. The father must be notified. Print, fill-in, copy and mail this letter. Please bring a completed copy to Dr. Garber.

Concerned about young children?

Developmental History Form This questionnaire offers an excellent overview of child development, useful when physical, social, emotional and other developmental issues may be relevant to your purpose in contacting Dr. Garber.
Children and Anxiety A very helpful outline/questionnaire when concerned about anxiety and children (Thanks to the American Academy of Pediatrics, 2001)
Go to childhood depression, anxiety and related LINKS

Seeking services for yourself or another adult?

"Am I depressed?" The Goldberg Depression Scale
Assessing depression in the senior years
Understanding and assessing post-natal depression The Edinburgh Postnatal Depression Scale
One adult depression self-rating scale
Go to depression and anxiety LINKS

Concerns about Attention Deficit Disorder

(ADD and ADHD)?

Adult and teen self-report questionnaire This non-scientific form can help older teens and adults begin to understand how behavior might resemble the behavior of persons with ADD or ADHD
ADD/ADHD diagnostic criteria according to the American Psychiatric Association's Diagnostic and Statistical Manual, Fourth Edition (DSM IV)
ADD/ADHD Frequently Asked Questions (FAQ) One useful approach to the most common questions asked about ADD/ADHD
Read about ADD/ADHD and family conflict, parental separation and divorce
Go to ADD/ADHD LINKS

Seeking assistance with a forensic (court-related) matter?

Please start by reading about the differences
among psychological services available in the context of divorce

Therapy with Children of Conflicted Caregivers: This is a generic version of the terms under which Dr. Garber may be available to provide psychotherapy to children caught in the midst of intense caregiver conflict, marital separation and/or divorce. Please keep in mind that psychotherapy and evaluation relevant to matters such as custody are quite distinct.	sample only
Co-Parenting Facilitator Agreement Caregivers who agree to participate in child-centered evaluations to assist with on-going litigation will be required to sign a contract similar to this example.	sample only
Parenting Coordinator Agreement In addition to the court's order appointing Dr. Garber to this role, participating parents will be required to endorse a statement similar to this	sample only
Directed Co-parenting Intervention (DCI) Contract Caregivers who agree to participate in DCI will be required to sign a contract similar to this example. Participant caregivers are reminded that DCI is not mediation/ADR, that Dr. Garber is not a state certified mediator and that the results of DCI may not be binding in court.	sample only
Co-parent's Communication Notebook Adapt this sample page to create your own communication notebook when face-to-face communications are too difficult.
Keep the kids out of the middle! Six essential beliefs that guide Dr. Garber's work with children whose parents are in conflict, separated and/or divorced.
Go to family conflict, alienation and divorce LINKS
Child Centered Family Evaluation (CCFE) Formerly known as a "custody evaluation," this sample service agreement spells out how this process proceeds, its requirements and limitations	sample only
Access the Forensic Assessment Package These materials are provided exclusively for the ease of those who have already contracted with Dr. Garber to complete a forensic assessment.

Confidentiality and communications.

These forms are provided here for your convenience. Please be advised that Dr. Garber will require receipt of an original, hand-signed form. Electronic reprodictions and transmissions cannot be accepted.

Co-parents' Mutual Informed Consent to release matters concerning a child's psychotherapy records. Both co-parents' signatures are assumed to be necessary unless legal documentation to the contrary is provided.
Children’s Rights to Confidentiality as Psychotherapy Clients This "Berg" acknowledgement may be necessary under recent NH Supreme Court rulings when a child's psychotherapy records cannot be released.
Authorization to Release Protected Health Information Print, complete and deliver this form to Dr. Garber in order to authorize communication of Protected Health Information (PHI) to individuals and agencies at your discretion.
Accounting for communications of Protected Health Information Print, complete and deliver this form to Dr. Garber in order to request an accounting of any confidential communications of your Protected Health Information (PHI) beginning 14 April, 2003. Please note that while Dr. Garber has always worked to respect patient confidences within the limits dictated by ethics and law, commincations prior to 14 April, 2003, may not be subject to HIPAA compliant accounting practices.