New Client Intake Forms
Click above to print and complete the New Client Intake forms. If you are attending couples or marriage counseling, each attendee should complete this paperwork. If counseling is for a child or adolescent, only one set of paperwork is required and should be completed by a parent or guardian for the child.
DON'T FORGET: At your first appointment we will need to be provided with your insurance card and state issued identification.
Release of Information Form
We need to permission to release any information to anyone other than the patient. This includes dates at times of appointments and other account information. For example, we need a release signed by the patient to speak with a spouse, significant other, or parent (if patient is 18 or older). For more questions, please contact our office.
Do I really need therapy? What is it like? Can it really help? These are just some of the questions that you may have.
Ready to take the first step?
If you are ready to take initiative and make positive changes in your life, we are ready to assist you.