Intake Package

Please click on the link below to access required paperwork. Please print and turn in complete documentation during your first visit.

• Adult Intake (ages 18 and above) - PDF
• New Child Client (Ages 17 and below) - PDF
• New Client Intake (Spanish) - PDF

Additional Forms

• Authorization for Release of Information - PDF
• Bariatric Evaluation - PDF
• Child Information Form - PDF
• Child Therapy Contract - PDF
• Collaborative Divorce - PDF
• Consent Form for Collaterals - PDF
• Credit Card Information Form - PDF
• Demographics - PDF
• Outpatient Services Contract - PDF
• Policies and Procedures - PDF
• Psychological Resident Consent Form - PDF
• Testing Consent Form - PDF
• Therapy Goals Checklist - PDF