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Forms

New Client Forms

 

If you're a new client, please complete the following forms and bring them to your first therapy session.

Adult (18+)

adult-intake-forms.pdf

Parent/Guardian

parent-guardian-intake-forms.pdf

Minor Custody Agreements

minor-custody-forms.pdf

joint-custody-consent-form.pdf

Teen (15-17)

teen-intake-forms.pdf

Youth (14 and under)

youth-intake-forms.pdf


Also, please be sure to review our HIPAA Policy.

 HIPAA

Contact Me

Location

Availability

Primary

Monday:

10:00 am-9:00 pm

Tuesday:

10:00 am-9:00 pm

Wednesday:

10:00 am-9:00 pm

Thursday:

10:00 am-9:00 pm

Friday:

10:00 am-5:00 pm

Saturday:

8:00 am-2:00 pm

Sunday:

Closed