Intake Forms

Intake forms should be completed no less than 24 hours prior to your scheudled appointment. Please complete all required forms and any additional forms at your therapists request.

Intake Forms - Required

Additional Forms

Release of Information
Collateral Disclosure Form
Video Recording Consent Form
Medicaid Member Handbook (*Medicaid members only)

Intake forms should be completed no less than 24 hours prior to your scheudled appointment. Please complete all required forms and any additional forms at your therapists request. All parties must fill out all required intake forms.

Intake Forms - Required

Additional Forms

Release of Information
Collateral Disclosure Form
Video Recording Consent Form
Medicaid Member Handbook (*Medicaid members only)

Intake forms should be completed no less than 24 hours prior to your scheudled appointment. Please complete all required forms and any additional forms at your therapists request. All parties must fill out all required intake forms.

Intake Forms - Required

Additional Forms

Release of Information
Collateral Disclosure Form
Video Recording Consent Form
Medicaid Member Handbook (*Medicaid members only)

Intake forms should be completed no less than 24 hours prior to your scheudled appointment. For children and adolescents, all legal guardians and children over the age of 15 must consent for treatment and complete all required intake forms.

Intake Forms - Required

Additional Forms

Release of Information
Collateral Disclosure Form
Video Recording Consent Form
Medicaid Member Handbook (*Medicaid members only)

Below are links to our intake forms. Please complete all forms prior to your scheduled appointment.

Intake Forms - Required

Additional Forms