Intake Paperwork

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THE ADULT INTAKE IS CURRENTLY UNDERGOING CONSTRUCTION AND IS UNAVAILABLE. PLEASE CONTACT THE OFFICE.

THINGS TO KNOW BEFORE YOU GET STARTED ON YOUR PAPERWORK 

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.