Intake Forms

Adult Assessment Form

Mental health assessment questionnaire for adults

Child Assessment Form (Parent/Guardian)

Mental health assessment for children completed by parent or guardian

Counseling Application

Initial application form for new clients

Credit Card Authorization

Payment authorization form

Informed Consent

Client consent and agreement form

Authorization of Release

Authorization to release confidential information

Notice of Privacy Practices

HIPAA privacy notice and client rights

Need Help?

If you can't download or fill out a form, reach out and I'll help. You can also bring the papers to your first visit and we'll complete them together.