Intake Package

Please click on the link below to access required paperwork. Please print and turn in complete documentation during your first visit.

• New Adult Client (ages 18 and above) - PDF | Word
• New Child Client (Ages 17 and below) - PDF | Word
• Our Children Our Future Clients - PDF | Word
• Vocational Rehabilitation Clients - PDF | Word

Additional Forms

• Authorization for Release of Information - Word
• Bariatric Evaluation - PDF
• Child Information Form - Word
• Child Therapy Contract - Word
• Consent Form for Collaterals - Word
• Credit Card Information Form - Word
• Demographics - Word
• Outpatient Services Contract - Word
• Policies and Procedures - Word
• Psychological Resident Consent Form - Word
• Testing Consent Form - Word
• Therapy Goals Checklist - Word