Intake Forms
The following forms must be reviewed and completed prior to the initial intake session.
Please complete and bring to your first appointment:
- New Client Questionnaire
- New Client Questionnaire – Minor
- Disclosure & Consent
- Fee Agreement
- Behavioral Health Screen
- Release of confidential information – if you’d like me to communicate to another person/provider/agency regarding your care, please complete one form per individual/agency
Please Read:
The following documents are for your reference only. While they do not need to be printed and returned, please know that you are asked to sign an acknowledgement of receipt of them on the forms above.
Screening Tools
The following screening tools are designed for an initial screening of various difficulties. Screening tools DO NOT substitute for a complete clinical evaluation. You are encouraged to seek professional guidance if you find that you screen positive or if you have questions regarding the information.