Integrated Psychological Center
of Indiana (IPCI)
If you're a new client, please complete the following forms and bring them to your first session.
Forms For All Patients:
HIPAA Notice of Privacy Practices
Office Policies & Patient Agreement
Acknowledgment of Notice of Privacy Practices
Release of Information to a Third Party
Child/Adolescent Testing Packet
Adult Testing Packet
Couples Therapy Packet
Adult Therapy Packet
Child/Adolescent Therapy Packet
Additional Forms for Patients of Ms. Williams:
Consent for Treatment with Trainee
Start your new path in life and be the change today!
Click here to view and print forms for your appointment.