Intake Paperwork

Complete Your Paperwork Now!

After Completing Your Paperwork You Will Be Transferred to Simple Practice to Request an Appointment Time!

Complete Intake Paperwork Now!

Youth Ages 12-17: Both the Parent and Youth Must Complete the Appropriate Paperwork.

Adults

Adult Intake Paperwork

Parent/Guardians (For Youth Ages 6-17)

Parent/Guardian Intake Paperwork

Youth Ages 12-17

Youth - Age 12-17 - Intake Paperwork