Adult Intake Forms

Each form below will open in a new window. Be sure to complete both forms.

Adult Intake Form
Adult Consent Form

Child Intake Forms

Each form below will open in a new window. Be sure to complete both forms. If requested, complete Comprehensive History of Child/Teen form.

Child Intake Form
Child Consent Form
Comprehensive History of Child/Teen (only if therapist requests)

Additional Forms

Authorize Credit Card Processing ( for changes to the original CC from original intake form)
Teletherapy Consent Form

Please take note of our cancellation policy for new and existing clients

Your regularly scheduled appointment is held for you each week as agreed upon by you and your therapist. Cancelled, missed, or rescheduled appointments with less than a 48-hour notice will be charged a fee of $80 for individual and $120 for couples or family sessions to the credit card on file (including the initial appointment). If your therapy is covered by health insurance, you will still be responsible for this amount as an out-of-pocket fee.