If you're an adult client (18 yrs or older), please print and complete the ADULT INTAKE/INFORMED CONSENT forms and bring them to your first therapy session. If you are coming as a couple, please complete one for each person.
If you are bringing your child or teen, please print and complete the following forms:
CHILD or ADOLESCENT Paperwork
Authorization for Release of Information
Important Notice for Parents Who are Separated or Divorced
Note: To download Adobe Acrobat Reader for free, click here .
We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.