Psychotherapy Forms
Adults
Initial Evaluation – Adults (Document: DrCB-2022-Initial-Evaluation-Adults)
Medicare & Blue Cross, Insurance, Fees, Confidentiality & Consent
Medicare Opt-Out, Insurance, Fees, Confidentiality & Consent
Collateral Intake Supplement- Adult (Document: DrCB-2022-CollateralIntakeSupplement-of-an-Adult)
Authorization of Use of Digital Communication
Minors
Initial Evaluation – Minors (Document: DrCB_2019_Initial Evaluation – Minors)
Collateral Intake Supplement-Minor (Document: DrCB_2019_Collateral Intake Supplement (of a Minor))
Relationship Counseling Forms
Forensic Evaluation Forms
Substance Use
Substance Use Evaluation Form (Document: Dr_CB_2019_Substance Abuse Evaluations_Format_Custody Eval)
Substance Abuse Initial Evaluation (Document: DrCB_2019_Eval_Sub_Abuse_Initial Evaluation)
Credit Card Authorization on File (Document: Dr_CB_2019_Credit Card Authorization on file)
Sexual Behavior
Forensic Sexual Behavioral Evaluation (Document: DrCB_2019_Forensic Sexual Behavioral Evaluation)
Initial Evaluation – Adults (Document: DrCB_2019_Initial Evaluation – Adults)
Credit Card Authorization on File (Document: Dr_CB_2019_Credit Card Authorization on file)
Collaborative Divorce Forms
Collaborative Divorce Info Sheet (Document: CCLLC 2019_Collaborative Divorce Info Sheet)
Collaborative Agreement (Document: DrCB_2019_Collaborative Agreement)
Collaborative Divorce Marital History Questionnaire (Document: COLLAB DIVORCE_Marital_History_Quest)
Credit Card Authorization on File (Document: Dr_CB_2019_Credit Card Authorization on file)
Miscellaneous Documents
Substance Abuse Checklist (Document: DrCB_2019 Brief Substance Abuse Checklist)
Credit Card Authorization on File (Document: Dr_CB_2019_Credit Card Authorization on file)
Curriculum Vitae – Dr. Christopher Barrilleaux (Document: Curriculum Vitae_October 2019)