INTAKE FORM

Now that you have completed your "Consultation Form" and have been scheduled for your "Intake Appointment," this "Intake Form" is your next step in your therapeutic experience.

The information being requested in this "Intake Form" is intended to get a snapshot of who you are, so that we can get a better understanding of what your needs are, as the client.

Notice: If you are CURRENTLY dealing with an emergency or mental health crisis, DO NOT attempt to complete our "Intake Form." Please dial 911 or call the National Suicide Prevention Lifeline @ 988 or text "NAMI" to 741741 for support. You are also encouraged to reach out to a person you know and trust for additional support.

CLICK IMAGE BELOW FOR INTAKE FORM