If you're a new client, please print and complete the Intake Form and bring it to your first therapy session.
For child/adolescent clients the Consent to Treat and Child Clinical History forms may also be required.
Additional forms are also provided for your convenience.
This is a packet for NEW clients. Please complete one packet only and bring to your first therapy session.
Release of Information Form
If you want your therapist to communicate with someone then this form must be signed by ALL adults who participate in therapy. This is required in order to protect your privacy and no communication, other than what is legally mandated, will be done without your consent.
Consent to Treat a Child Form
This form is to be signed by a LEGAL parent or guardian who may not be able to attend an initial therapy session in-person.
Child Clinical History Form
This form should be completed by parents when the primary focus of treatment is for a child/adolescent.
Technology Assisted Therapy Consent Form
This form is to be used when technology will be incorporated into the therapy process.