Client Intake Form
Share your background, what brings you to counseling, and information that will help your clinician prepare.
A little preparation for your first visit.
Review and complete your intake and consent forms before your first appointment, including the required signatures.
Online forms open in a new tab with the practice’s existing forms provider, FormDr.
The two required forms
Complete the intake form
Client Consent to Treat
Review the practice’s informed consent, privacy information, insurance, and payment authorizations, and complete the required signatures.
If you have questions about consent, payment, or what information to provide, contact your clinician before signing. Please don’t send completed clinical forms or card details through ordinary email.
Other forms, when you need them
These are for specific requests or updates, rather than forms everyone needs to complete before starting.
Release of Information
Use when you want to authorize sharing information with another person or organization. Complete a separate release for each recipient.
Update Insurance Information
Let the practice know about a new insurance plan or a change in coverage.
Update Credit Card Information
Use the practice’s online form to update the payment card on file.
Need help with paperwork?
Your clinician can explain which forms apply and discuss an alternative way to review or complete them if online forms are difficult to use. Meet the Clinicians to find direct contact details.
You can also review our fees and appointment policies before your visit. The full consent documents explain the terms that apply to your care.
Your first step can be a conversation.
Schedule online, or message a clinician about getting started.