If you are a new client, please complete the appropriate Online Intake Form below.  If you are unable to access or complete the online form, feel free to print and complete the downloadable version.  In addition, printed copies of the forms are available in the office waiting areas.  Please arrive 15 minutes prior to your intake appointment time should you need to complete forms in the office

ONLINE FORMS

DOWNLOADABLE FORMS

If you're a new client, please complete the following forms and bring them to your first therapy session.

 

• Adult Psychotherapy Intake Form
  
   

• Child (ages 4-17) Psychotherapy Intake Form
  
   

• Formulario de admisión de niños
  
   

• Consent to Share Information with School (ROI)
  
   

• Release of Confidential Information (English)
  
   

• Release of Confidential Information (Spanish)
  
   

• Credit Card on File Authorization
  
   

• Teletherapy Consent Form (Online Form)
  
  
  
  Note: To download Adobe Acrobat Reader for free, click here.

• Adult Psychotherapy Intake Form
  
   

• Child (ages 4-17) Psychotherapy Intake Form
  
   

• Formulario de admisión Adultos
  
   

• Formulario de admisión de niños
  
   

• Release of Confidential Information (English)
  
   

• Release of Confidential Information (Spanish
  
   

• Credit Card on File Authorization Form
  
   

• Financial Agreement and Privacy Disclosure
  
   

• Teletherapy Consent Form

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