Forms

Registration Form:

For all clients I need the registration form filled out for basic billing information and release for therapy services. If you are not using insurance then you can skip the insurance section within the form. Please bring this form filled out for your first session.

Adult Intake:

If you are an adult seeking therapy this form will need to be filled out in its entirety. If you are coming in as a couple then one of you will need to fill out and sign all of the paperwork. Insurance companies only work with individual symptoms and treatment so one person will need to be the primary patient.

Adolescent Intake:

This form will need to be filled out by the adolescent and by the parent/guardian.

Informed Consent:

This form gives basic consent for treatment and billing. Please read and initial all that apply, then sign and date the form and bring with for your first session.