Megan Lukany, LCSW
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  • About Megan
  • Services
  • Parent Coaching
  • Clinical Supervision
  • Speaking Engagements
  • Contact
  • Rates & Insurance
  • Helpful Forms
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  • Make a Payment
  • Teletherapy with Megan
  • Blog
Megan Lukany, LCSW
  • Home
  • About Megan
  • Services
  • Parent Coaching
  • Clinical Supervision
  • Speaking Engagements
  • Contact
  • Rates & Insurance
  • Helpful Forms
  • Gallery
  • Make a Payment
  • Teletherapy with Megan
  • Blog

Child PAtient Forms

Before we meet, it would be helpful if you could complete the appropriate forms.  

Please complete the appropriate forms prior to your first appointment.

Forms can be completed electronically from your phone, tablet, or computer. There is no need to print them.

To complete a form:
Click the form below, fill in all applicable fields, and save the completed PDF to your device. Please email your completed forms to MeganLukanyLLC@gmail.com prior to your appointment.

Please be sure to save your completed form before closing it.


Welcome Parents (pdf)Download
Service Agreement 2026 (pdf)Download
Telehealth Informed Consent Form (pdf)Download
Intake Form (pdf)Download
Intake Form For Child (pdf)Download
Children's Anxiety Disorder Evaluation (pdf)Download
PARENT: Child Anxiety Disorder Evaluation (pdf)Download
PARENT - Vanderbilt ADHD Scale (pdf)Download
TEACHER - Vanderbilt ADHD Scale (pdf)Download
CHILD: Child and Adolescent Trauma Screen (CATS) Care (pdf)Download
HIPAA Confidentiality Release (pdf)Download
Credit Card Agreement (pdf)Download
Good Faith Estimate (pdf)Download

ADULT PATIENT FORMS

Before we meet, it would be helpful if you could complete the appropriate forms.  

Please complete the appropriate forms prior to your first appointment.

Forms can be completed electronically from your phone, tablet, or computer. There is no need to print them.

To complete a form:
Click the form below, fill in all applicable fields, and save the completed PDF to your device. Please email your completed forms to MeganLukanyLLC@gmail.com prior to your appointment.

Please be sure to save your completed form before closing it.

Service Agreement 2026 (pdf)Download
Information Form (pdf)Download
Adult Intake Form (pdf)Download
Telehealth Informed Consent Form (pdf)Download
ADHD Rating Scale (pdf)Download
Anxiety Intake Questionnaire - GAD-7 (pdf)Download
HIPAA Confidentiality Release (pdf)Download
Credit Card Agreement (pdf)Download
Good Faith Estimate (pdf)Download

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Feel free to contact me at MeganLukanyLLC@gmail.com to schedule an appointment

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