Forms

I look forward to meeting with you. Please click on the links below to download and print a four-page intake form and my office Notice of Privacy Practices for your signature.  Complete all requested information and bring with you on your first appointment with me. You do not need to include your Social Security Number, please leave that blank. Tricare Beneficiaries, please include your D.O.D. #.  

Intake Form

Notice of Privacy Practices


_______________________________________________________________________
Daniel Maccia, Psy.D.