Intake Forms

New client ? Complete forms below and:

1) Bring them to your first therapy session.            or  

2) Phone, email, or webcam life coaching sessions, download,
  complete and return via fax or email prior to first session.
 

(888) 843-0629 Fax or click button  below to electronically fax to our
office completed documents!
Click to fax me now.
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Psychotherapy (Counseling) Paperwork:

Adult Intake Forms to complete and return prior to first
visit via fax, or email; or bring to first visit to our office:

Adult Intake Forms  Open in PDF and download            
History Forms  Click here!

Energy Psychology Consent to Treat 
 
complete if you are interested in this type of treatment. Questions? Contact us!


For children add this history form instead of the one above. Click here to download Child History Form


No insurance, financial hardship upon you and your family? Download Discounted Policy Fee Application   See if you qualify for a discounted price on sessions! Click here!                            or                    
Submit insurance for verification of coverage via fax or email

 


 Life Coaching Intake forms:
 Download intake and welcome packet here!


Note: To download Adobe Acrobat Reader for free, click here.

Now contact us and schedule your appointment!!  

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