You can avoid a mound of paper and save lots of time by using the online form below. Everything is sent directly to your provider.

 

1. Please complete a CLIENT REGISTRATION FORM (below) for EACH client that will be seen.
2. Please complete a POLICY ACKNOWLEDGMENT form.  One document is good for the entire family unless there is a different person responsible for payment.

OR.. If you prefer mounds of paper.

You can manually download, Print, fill these out, and bring them with you at your first appointment.

Policy Only Statements
Policy Statement with Adult Client Intake
Policy Statement with Child Intake and Consent to Treat