New Client Form
In order to get scheduled for a consultation, we do ask all new clients to fill out the form below. Once the form is completed, we will reach out to you by email.
Click the Link to fill out the form:
New Client Form (Therapy)
New Client Form (Assessment)
Release of Information
If you are a current client looking to fill out a release of information form to allow family members or other physicians access to your medical records, click the link below to fill out the form.
Note: If you have a child 13 years or older and wish to help them schedule their appointments and discuss billing or there are multiple people in a session (couples therapy) then we will require an ROI on file. You may complete this form now or request it to be sent to your client portal.
Payment Plan Form
For current clients looking to fill out a payment plan form to set up a weekly, biweekly, or monthly payment plan please send a request by email or through your portal and the form will be sent to your client portal and/or email address.