Intake Forms

Part of understanding the benefits of treatment is understanding the importance of our initial meeting and information gathering. The intake will provide me with your contact, demographic, and basic assessment information. It will also inform you of my treatment philosophy, issues regarding confidentiality, financial terms, emergency procedures, your rights and responsibilities, and your consent for treatment.

I encourage you to take time to understand the Intake Packet and ask any questions you may have. If you choose to begin counseling we will also discuss these issues during our initial meeting. It may be more comfortable for you to fill out the Intake Packet in the privacy of your own home. Please click on the link below to download, print, and fill out the Intake Packet to bring to our initial meeting.

Intake Packet