Intake Forms 

To begin the process, please e-mail me any questions you might have, and complete the intake forms linked below. 
Drop us a line and we’ll get back to you!

Intake Forms

Below you will find the necessary Intake Forms that need to be completed to start counseling. Please read and complete as guided.  

Parent Questionnaire

Download File

Disclosure Statement 

Download File

Consent to Treat

Download File

COVID Consent Waiver 

Download File

HIPPA Release Form

Download File

Financial Contract

Download File
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