If you are new INDIVIDUAL client to our practice or you if you are returning after one year, please print and complete the following form and bring it to your first therapy session.
If you are a new COUPLE to our practice or if you are returning after one year, please (each) print and complete the following form and bring with you to your first therapy session.
- Couples Psychotherapy Intake FormIf you would like us to coordinate care with another provider (your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information.
If we are going to engage in online sessions, please sign this form and send back to us.
Note: To download Adobe Acrobat Reader for free, click here .