Intake Forms
To make your registration process as smooth and efficient as possible, I request that all clients complete the necessary forms before our first appointment. Completing these forms accurately will help me better understand your needs and provide you with the best care possible. Thank you for your cooperation!
Required Forms
Every client must fill out the following essential forms:
- Disclosure Statement
- Privacy Rights Form
- Payment Agreement Form
- Appropriate Intake Form
Choosing the right intake form is crucial for tailoring your experience to your specific needs. Here’s how to select the appropriate form based on your situation:
Individual Treatment
If you are seeking treatment on your own, please complete the Intake Document (Adult) form.
Couple Treatment
If you are attending with a partner, I ask that both of you fill out a copy of the Intake Document (Couple) form.
Adolescent Treatment
For adolescents, I kindly ask that the teenager fill out as much of the Intake Document (Adolescent) form as possible. Parents are encouraged to add any additional remarks or information that may assist in the process.
Release of Information
You can skip the Release of Information form for now. I will discuss its necessity during our initial consultation if it becomes relevant.