Counseling Intake Packets

For your convenience, use the links below to print and complete your paperwork prior to your initial appointment.

• Notice Of Privacy Practices – All Clients Please Read
• Adult Intake Packet
• Child Intake Packet
• Covid-19 Informed Consent of Risk
• Telehealth Consent Form
• Consent for Treatment of Minors (required only if there is a custody agreement in place.)
• Client Request for Records

Please remember to bring your photo id, insurance card, and any custody agreements that may be in place along with your completed packet to your initial appointment. Failure to do so may result in having to reschedule.

If for any reason you cannot keep your appointment, please notify the office at least 24 hours in advance. Failure to do so may result in missed appointment fees or inability to reschedule.