Forms

Client Portal 

Our clinic is  paperless!  To complete the New Client Paperwork, demographic information and electronically sign all documents, contact Amanda to access your password to your account.  In addition, use this portal to access your invoices, pay your balance, and schedule your appointments. Contact Amanda at AmandaPetrikLCPC@gmail.com or 785-477-9117.


Privacy Policies

Please keep/view for your records.


Release of information

If you would like me to coordinate care with another provider, such as a psychiatrist, physician, school, or your workplace, please fill out and bring the following form.