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Child & Family Associates of Greater Washington

Child & Family Associates of Greater Washington

Assessment and Psychotherapy Services

  • Our Services
    • Assessment & Evaluation
    • Child & Adolescent Services
    • Adult Services
    • Family Therapy
    • Group Therapy
    • Educational Consultation Services
      • Educational Consultation Services for Children and Adolescents
      • Educational Consultation Services for High School and College Students
  • Meet Our Team
    • Steven M. Harner, Psy.D.
    • Emilie A. Paczkowski, Ph.D.
    • Noura I. Khayat, Psy.D
    • Ashley Maharaj, LPC
    • Cameron B. Hopkins, M.A.
    • Christina Hyon-Wynn, Psy.D.
    • Courtney Formicola, Psy.D.
    • Danielle Dougherty, Ph.D.
    • Eric Lee, Ph.D.
    • Francesca Fernandez, M.A.
    • Heidi Lane Berio, Psy.D.
    • Jakobi Tharpe, LPC
    • Jessie Patton, LCSW
    • Kari Faye Evans, Psy.D.
    • Lindsey Chapman, LCSW
    • Matthew R. DeMichiei, Psy.D.
    • Patricia Rodriguez, Psy.D.
    • Rebecca Fritsch, Psy.D.
    • Lawrence Rondon
    • Natasha Hennessy, M.S.
  • Patient Resources
    • Patient Forms
    • Frequently Asked Questions
  • About Us
    • About The Practice
    • Associates
    • Clinical Psychology Postdoctoral Fellowship
    • Careers
  • Contact Us

Patient Forms

Intake Packet for Child

Use this form if the client is under 18 years old.

Complete Form
Intake Packet for Adult

User his form if the client is over 18 years old.

Complete Form
Consent for Psychological Assessment

Use this form to consent for psychological testing.

Complete Form
Release of Information (ROI) (CHILD)

Use this form to allow your clinician to speak with another provider or your child’s school.

Complete Form
Release of Information (ROI) (ADULT)

Use this form to allow your clinician to speak with another provider or your school.

Complete Form
Credit Card Authorization Form

Use this form to provide a new credit card or HSA/FSA card.

Complete Form

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703-533-3930
Get Started Today

Office hours are by appointment and CFA Associates strive to accommodate evening and weekend hours, particularly for our younger clients.

6063 Arlington Blvd
Falls Church, VA 22044
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6051F Arlington Blvd
Falls Church, VA 22044
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6057B Arlington Blvd
Falls Church, VA 22044
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Schedule A Call

Please contact us to schedule a phone consult, where we will discuss your concerns and find out how CFA can help.

Contact us

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I understand and agree that any information submitted will be forwarded to our office by email and not via a secure messaging system. This form should not be used to transmit private health information, and we disclaim all warranties with respect to the privacy and confidentiality of any information submitted through this form.