Before you can schedule your first appointment, we will need intake information about the new client and relevant parties. The intake form can be completed and submitted electronically below. Please fill out each answer as applicable. This will be sent via e-mail to our intake worker, who will contact you according to your preferences. Please ensure that all information is filled out as accurately as possible.
If you do not wish to submit an online form, you can visit one of our locations in person to receive and fill out a physical copy of the intake form, or alternatively contact our intake worker by telephone.
At your first appointment, we will require additional information and a copy of your insurance card (if applicable).
You may not fill this form out for an individual besides yourself unless you have legal guardianship over this person or a release to legally do so.