All new clients please complete the Disclosure, Privacy Rights, Payment Agreement and
appropriate Family System Intake document. All family members can sign one form.

You do not need to provide me with a signed release unless previously discussed.

Couples can print two copies of the intake document for couples
and each complete one.

Teens can complete the appropriate portions of the family system
intake for child and a parent can then add their thoughts to the same
document.

New clients can download, print and fill out these pdf forms at their convenience.

Please open the forms using Adobe Acrobat in order to keep formatting in order.

Family System Intake Couple

Family System Intake Document—Child

Intake Document–Adult

Notice of Privacy Rights

Release of Information

Disclosure Statement

Payment-Agreement-Form

*You do not need to provide me with a signed release unless previously discussed.