New Client Forms


However, the more that you complete before our initial visit, the more time we get to spend face-to-face looking at each other and talking, rather than looking at paperwork!

If you could print out these initial intake forms (and additional forms for minors if the main person being seen is under 18 years old), and have them filled out prior to our first session, it will help us to focus more on your personal story.  We will still have to go over some pieces of information in these forms, however the process will go much more smooth.

If you have any questions about anything in the paperwork, please just leave it blank, and be sure to ask about it when we first meet.

Thank you for your willingness and your patience.


Download Your Forms Below

Adult & Adolescent Intake Interview

Counseling Policies & Agreements

Release of Info

If the client is under 18, please also fill out these additional forms:

Minor Consent

Parent Intake Interview


Get in touch with us to see if we’re a good fit.

336-337-5469 |