Intake Paperwork

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Let's start working together!


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THINGS TO KNOW BEFORE YOU GET STARTED ON YOUR PAPERWORK 


SAVE YOUR WORK!!!! 

There is a SAVE button on the forms. Push it periodically. That way if something happens it can be retrieved!

 

Before Completing Your Paperwork Gather the Following:

  • Insurance Card(s): For all health insurance policies 

  • Proof of Identification: (State ID/ Drivers License, or Other State/Federally Issued Identification) 

    • Clients aged 6-17 may also use a birth certificate or school id

  • Adoption/Guardianship Papers: Required for any youth not being enrolled by their biological parent. 

    • If you are responsible for a youth, but do not have official paperwork, please contact the office to determine other options

Which Form Should You Fill Out?

  • Adult Form: For anyone 18+ coming for individual, couples, or family therapy and is their own guardian.

  • Parent/Guardian Form: To be completed by a parent or guardian providing information for their child age 6–17.

  • Adolescent Form: To be completed by youth ages 12–17 who are attending individual or family therapy.

For Youth Ages 12-17: Both the Youth and Parent/Guardian must complete their forms. 

Couples & Family Therapy

  • Couples Therapy: Each partner must complete their own form.

  • Family Therapy: Each person who will be in sessions needs their own file.

    • For youth ages 12–17, both the youth and parent/guardian must complete forms.

    • For children under 12, only the parent/guardian fills out the form.


Intake Paperwork

Please complete the appropriate paperwork. Once the paperwork is completed, our administrative staff will reach out to you within 2 business days.