Forms
New Client Information
New Client Information
Prior to your initial appointment, please print and fill out related forms below. Please bring completed forms, insurance cards, and your copay/coinsurance with you to your scheduled appointment.
If you don't have access to a printer, please plan to arrive 20 minutes before your scheduled appointment in order to complete the required paperwork.
CHILD/MINOR INTAKE FORM
CHILD/MINOR INTAKE FORM
ADULT INTAKE FORM
ADULT INTAKE FORM
CHILD (MINOR) INTAKE.pdfADULT INTAKE.PDFAUTHORIZATION TO DISCLOSE MENTAL HEALTH INFORMATION
AUTHORIZATION TO DISCLOSE MENTAL HEALTH INFORMATION
AUTHORIZATION TO DISCLOSE MENTAL HEALTH INFORMATION.pdf