New patients will be asked to complete the following intake forms prior to their initial appointment. We have made these forms available here for download if you prefer to fill them out before your arrival. If not, please arrive 20-25 minutes prior to your appointment start time to complete these forms. If you are coming for couples counseling, each partner should complete his or her own Adult Intake form.
Informed Consent and Policies
Patient Intake Form
At times, it may be helpful or necessary for your therapist to coordinate care with your primary doctor, with your child's school or with other helping professionals involved. If you anticipate this to be the case, please download and complete the following Release of Information. Your therapist can assist you if you are unsure how to complete any part of the form.
Release of Information
Additional forms that your therapist might recommend include:
Consent for Couple's Therapy
Credit Card Authorization Form
Note: To download Adobe Acrobat Reader for free, click here.