Please be sure to check all the tabs and fill all the forms
For your convenience, you can download and print the following forms.
Acknowlegements of all forms
New Client Intake Form
PAYMENT FOR SERVICE: All insurance Co-payments are due at the beginning of each therapy session. Payments can be made in the form of Cash, Check, Visa, MasterCard, HSA and Discover.
Thanks for submitting! Please continue with Counseling history form.
In the section below identify if there is a Family History of any of the following. If yes, please indicate the family member’s relationship to you.
Thanks for submitting! Please continue with ADDITIONAL INFORMATION Form