NEW PATIENTS

New Patient Information

Welcome! To get started as a new patient, please complete our initial intake forms. These forms are essential for gathering demographic information and understanding your unique situation, allowing us to develop tailored interventions for your care.

Easy Form Submission

You can conveniently fill out the forms directly on our website using any smart device. Alternatively, printable versions are available for download. You can complete these and return them via fax, email, or mail. Please ensure both required documents are completed before your initial appointment.

Appointment Confirmation

As a courtesy, we will send you a reminder text 24 hours before your scheduled appointment. To avoid cancellation, please confirm your appointment promptly.

Required Forms

• Complete the corresponding Intake and Assessment Form (Adult or Child).

• For DWI evaluations, please scroll down and complete the DWI Assessment Forms.

Your cooperation in completing these documents ensures we can provide the best possible care from your very first visit. Thank you!

ADULT INTAKE FORMS

CHILDREN INTAKE FORMS

DWI ASSESSMENT FORMS

 INTAKE FORMS

Printable Versions:

The following links are the forms in printable version. You have the option to print, review and fax or email or mail them to us (contact information is below):

• Client Intake Form

• Adult Symptom Assessment Form

• Child Symptom Assessment Form

• Consent for Treatment

• Telemedicine Informed Consent

If you would like to coordinate care with another individual or provider (for example, a family member, your psychiatrist, primary care physician, etc.), you have to complete this form to authorize release of psychotherapy information:

• Authorization to Disclose Information Form