University of Tennessee
Psychological Clinic
Please click or tap the appropriate menu item below to indicate the forms you wish to complete.
Form 1: Adult Intake
Form 2: Child Intake
Form 3: UTPC General Telehealth Consent Form
Form 4: Email Consent Form
Form 5: Consent for Release of Information
Form 6: Optional Addendum
Form 7: Client Information Update
Form 9: Notification Regarding Release of Information for Police Candidate Evaluations
Form 10: Evaluation Good Faith Estimate of Charges
Form 11: Therapy Good Faith Estimate of Charges
Form 12: Exposure Therapy
Form 13: Insurance Information & Agreements