Adult Intake Form

Financial Credit Card Information Form

All our forms are sent through TherapyNotes through the online portal. The Intake Coordinator will need your name, email, and birthday to set up the portal.

  • Adult Intake
  • Financial Form (it’s on that page – 2 documents)

If you feel that you would like to collaborate your session with another provider, simply fill out the following form:

Authorization for Release of Information