Dr. Cooley schedules all appointments himself. This allows him to briefly speak with you so he can schedule the appropriate type of session, consultation or evaluation. Plesae leave a voicemail message with a brief description of why you want to consult with Dr. Cooley along with a phone number and a good time to call you. Dr. Cooley returns messages 7 days a week.

It will be helpful and save time if you print out and complete forms below that are appropriate for your type of evaluation and bring them with you to your appointment. 

Consultation for child under age 18:

1. Child Registration Form (Exclude insurance information if not BC/BS eligible)
2. HIPPA- Notice & Acknowledgement of Privacy Practices
3. Office Policies & Consent to Treatment

Consultation for Adult

1. Adult Registration Form (Exclude insurance information if not BC/BS eligible)
2. HIPPA –Notice & Acknowledgement of Privacy Practices
3. Office Policies & Consent to Treatment

Evaluation for Gifted Eligibility

1. Child Registration Form (Exclude insurance information)
2. Office Policies & Consent to Treatment

Evaluation for Learning Disability, Educational/Test Accommodations for Learning Disability or Attention Deficit Disorder

1. Child Registration Form (Exclude insurance information)
2. Adult Registration Form (Exclude insurance information)
3. HIPPA –Notice & Acknowledgement of Privacy Practices
4. Office Policies & Consent to Treatment
5. Childhood History Form (Exclude if Dr. Cooley has evaluated or seen you previously)

Evaluation for Developmental Delay

1. Child Registration Form (Exclude insurance information)
2. HIPPA –Notice & Acknowledgement of Privacy Practices
3. Office Policies & Consent to Treatment
4. Childhood History Form (Exclude if Dr. Cooley has evaluated or seen you previously)

Evaluation for Autistic Spectrum Disorder

1. Child Registration Form (Exclude insurance information if not BC/BS eligible)
2. HIPPA –Notice & Acknowledgement of Privacy Practices
3. Office Policies & Consent to Treatment