New Patient Information

Please download, print, and complete the Client Information Sheet and Services Agreement form. (Note: Adobe Reader required. If you do not have Adobe Reader on your computer, you may download a FREE copy from Adobe here.)
If you are completing this form for a child, please use the child’s name and information to fill out the forms.
Bring the forms to your first appointment. If you have any questions, your counselor will assist you during the intake.
If you are completing this form for a child, please use the child’s name and information to fill out the forms.
Bring the forms to your first appointment. If you have any questions, your counselor will assist you during the intake.
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