New Client Forms

Please complete these forms before your first appointment. Your information is secure and confidential.

1
2
3
4
Step 1

Client Intake Form

Personal information, contact details, emergency contact, and presenting concerns.

~10 minutes Start Form
Step 2

Consent for Treatment

Information about therapy services, confidentiality, cancellation policy, and your consent.

~5 minutes Start Form
Step 3

HIPAA Acknowledgment

Notice of Privacy Practices explaining how your health information is used and protected.

~3 minutes Start Form
Step 4

Insurance & Payment

Insurance information or self-pay selection, and payment authorization.

~5 minutes Start Form

Your progress is saved automatically

You can complete these forms over multiple sessions. Your information is stored securely in your browser until you submit.