Intake Forms

New Client Intake Forms

Please fill out these forms and bring them with you to your appointment

Client Contract and Policies

Please review, initial and sign where indicated. Bring this with you to your appointment.

HIPAA and Privacy Disclosures

Please review and sign where indicated. Bring this with you to your appointment.

Things to know for your MFR treatment

New clients, please read over this important information before your appointment. You do not need to bring this with you to your appointment.

Minor Consent Form

Clients who are under the age of 18 must have this form filled out by a parent or legal guardian. Bring this form to your appointment in addition to the other forms.