Intake Forms

For your convenience, our intake and other forms are available for new clients to fill out and submit, to save time upon check in.

Thank you for your help in making our process more efficient.

Filling these forms out in advance will save time upon your arrival at our office. Please arrive at least ten minutes before your appointment in order to complete the administrative process. Thank you.

Child Intake Form

Adult Intake Form

Release/Request For Information

Patient Demographics

Coordination of Care with Primary Care Provider

HIPAA Compliance

Telehealth/Telemedicine Consent Form

We are also posting links to PDF versions of the Child and Adult Intake Forms, if you wish to print them at home and bring the filled out forms to your office visit. Please print on one side of the page only. Thank you! These forms require Adobe Reader. If you do not have Adobe Reader you can download it for free, here.

Child Intake Form

Adult Intake Form