Client Forms

Tip: Save time and money by completing forms before your appointment, so that we can make the best use of the time allotted per session.


FORMS

To complete an intake packet, please click on the link that best describes what service you are seeking:

I am a new client seeking counseling or therapy.

I will be participating in a mental health or substance use evaluation. (Note: Do not use this link if you want counseling or psychotherapy; use this link only if have been asked to complete an evaluation by an employer, attorney, judge, probation officer, other government/legal authority, or healthcare professional.)

I am a mental health professional seeking consultation.

I am (or soon will be) a registered mental health counselor intern or registered marriage and family therapy intern and am seeking clinical supervision

If you would like for me to obtain records from or communicate with any physician, psychiatrist, psychologist, or other health professional that is, was, or will be working with you, then please complete a two-way release of information form and bring it with you to your appointment. 

To view and/or download a copy of our HIPAA Privacy Notice, click here.

Contact Us

Locations

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Office Hours of Operation

Monday

9:30 am - 5:00 pm

Tuesday

9:30 am - 5:00 pm

Wednesday

9:30 am - 5:00 pm

Thursday

9:30 am - 5:00 pm

Friday

9:30 am - 5:00 pm

Saturday

Closed

Sunday

Closed

Monday
9:30 am - 5:00 pm
Tuesday
9:30 am - 5:00 pm
Wednesday
9:30 am - 5:00 pm
Thursday
9:30 am - 5:00 pm
Friday
9:30 am - 5:00 pm
Saturday
Closed
Sunday
Closed
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WHERE IS YOUR PAIN?

Learn how we can help with your pain