Client Forms - Marc Gilmartin Therapy

New Client Forms

Please Print out the forms below, complete and bring to your initial appointment:

Client Registration Form

Medical History

Telemedicine Consent Form

Disclosure Statement

Getting Reimbursed

Notice of Privacy Practices

Release of Information

Excitation and Inhibition Questionnaire

Sexual-Symptom-Assessment-Scale

Hypersexual Behavior Consequences Scale

Relationship Structures Questionnaire

OCSB Group Contract