Please download, complete and print these forms prior to your first appointment and bring them with you. Thank you!

Choose the Adult Intake Packet if the client is over 18 years of age and choose the Child Intake Packet if the client is under 18 years of age. Choose the Couples Intake Packet if you are starting couples therapy. Each partners should fill out the demographics and assessments forms which are included in the Couples Intake Packet.

If your device doesn’t support PDF documents, try the Word document links.


If you are the parent or caregiver of a child under the age of 13, you can fill out all the forms. If your child is over 13, please consider filling them out together or allowing your child to complete the assessments confidentially.

We will discuss them during your initial evaluation and you will have the opportunity to ask questions and receive copies of any documentation you would like for your records.

Adult Intake
PDF
DOC

Child Intake
PDF
DOC

Couples Intake
PDF
DOC