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Intake Forms

If you are unable to print and fill out the forms below, please come in about 10 to 15 minutes ahead of your scheduled appointment so that you can fill out a fairly short information packet before your session begins. Please prepare yourself with a list of contact information, prescriptions, and anything else you may need to complete the requested information. Again, we want to stress, the information that you provide will remain confidential to the highest standards of the law. We gather information solely for the purpose of understanding who you are as an individual, your history, and how, very best we can serve you.

  • New Client Packet View
  • HIPPA Compliance Form View
  • Fee Schedule View
  • Insurance Information View
  • Information Disclosure - Form A View
  • Information Disclosure - Form B View