Intake Forms

Below are a list of intake forms that need to be completed prior to your intake appointment. These forms will be sent to you via your therapy portal account, but are also available here. Please select the form that most closely represents the form of therapy you are looking to receive.

release of information

A release of information allows me to be able to communicate with outside agencies, such as a primary care doctor, psychiatrist, or a school, or with family members outside of your immediate family that may be involved in treatment.