Intake Paperwork

Using the links below, you may print or complete your paperwork online.

We ask that you first schedule an appointment by phone or email before completing paperwork, this way we can insure you select the correct forms.

All paperwork is stored on a HIPPAA compliant server.

Minors Forms

Child Questionnaires (6 -11) For the child questionnaires, have your child complete as much as they can, with your support as needed. 

Teen Questionnaires (12-17)

Minor - CPS Itake Please note: Minor Intake packets are to be filled out by parents or caregivers.

Minor Complete Intake Please note: Minor Intake packets are to be filled out by parents or caregivers.

 

 

Adult Forms

Adult Complete Intake (12+ use this form)

Adult CPS Complete Intake (12+ use this form)

Adult Intake Questionnaires (18+ complete these)

Miscellaneous Forms

Telehealth Informed Consent

Release Exchange Form (for release/exchange of information)