If you're a new client, please complete the following forms and bring them with you to your first therapy session:
Adult Intake Form | |
File Size: | 80 kb |
File Type: | docx |
Therapist Client Agreement | |
File Size: | 39 kb |
File Type: | docx |
Child or Adolescent Intake | |
File Size: | 60 kb |
File Type: | docx |
Good Faith Estimate for Self Pay Clients | |
File Size: | 14 kb |
File Type: | docx |
Telemental Health Informed Consent Form | |
File Size: | 40 kb |
File Type: | doc |
If you would like your clinician to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Authorization to Release Information Form | |
File Size: | 51 kb |
File Type: | rtf |