David Cranford, Ph.D.

Licensed Clinical Psychologist

1800 Town Center Drive, Suite 420, Reston VA 20190

Phone: 240-303-2141    Fax: 703-662-0544    Email: david@davidcranford.net

​Bye-Bye Paper

I am now using a web-based practice management system that enables you to complete all forms electronically.  These SSL Forms below are for secure communications which are encrypted to prevent snooping by a 3rd party.  This is useful if any of your forms contain sensitive information such as credit card or payment details or any other data of a personal nature.

   
Psychological Testing Registration and Intake Form 

Please complete in advance of our first session.  Required fields must be completed. This will also serve as your copy of the HIPAA Guidelines for how Mental Health Professionals protect the privacy of your health information.  This notice describes how psychological and medical information is used and disclosed and how you can get access to this information.  

Therapy Registration and Intake Form 

Please complete in advance of our first session.  Required fields must be completed. This will also serve as your copy of the HIPAA Guidelines for how Mental Health Professionals protect the privacy of your health information.  This notice describes how psychological and medical information is used and disclosed and how you can get access to this information.  

Informed Consent Form 

This form is important as it describes psychological services, confidentiality, and payment information, Please read this form over and sign your name at the bottom.  I will be glad to answer any questions before signing.

 
Authorization to Release Information Form 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, teacher etc.) or family member (for example, partner, spouse, parent, etc.) complete this form.