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New Client Forms

To make your first session as smooth as possible, please complete the appropriate intake forms before your appointment. These forms help us get to know you (or your child) and ensure we provide the best possible care.

Adult Clients

If you're beginning individual therapy as an adult, please fill out the following:

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Share background information, current concerns, and health history to help guide your treatment.​

 

Adult Intake Form

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Outlines your rights, appointment policies, payment information, and communication guidelines.

 

Clinician-Client Agreement

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Details how your personal health information (PHI) is protected and when it may be shared.

Confidentiality Agreement

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Authorizes the exchange of specific health records with another professional. You can specify what’s shared and for how long.

Release of Information

Children & Adolescent Clients

If you are the parent or guardian of a child or teen starting therapy, please complete:

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Share background information, current concerns, and health history to help guide your treatment.​

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Child Intake Form

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Explains parental involvement expectations and obtains consent for treatment of minors.

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Minor Consent Form

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Outlines your rights, appointment policies, payment information, and communication guidelines.

​

Clinician-Client Agreement

Screenshot 2025-07-03 at 10.58.38 AM.png

Details how your personal health information (PHI) is protected and when it may be shared.

​

Confidentiality Agreement

Screenshot 2025-07-03 at 10.59.01 AM.png

Authorizes the exchange of specific health records with another professional. You can specify what’s shared and for how long.

​

Release of Information

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