Intake Forms

Forms are required to be completed 48 hours prior to the intake appointment. Please click the title of each form to access the link. 

Intake Form  - English   -   Español

Consent for Child Therapy  -  English   -   Español

Consent for Voice or Teletherapy Sessions  -  English  -   Español

Privacy and Related Policies  -  English  -   Español

Caregiver Questionnaire  -  English  -   Español

Treating Children Involved in Family Court or Guardship Court Cases  -  English  -   Español

Release of Information (fill out if you need therapist to talk to anyone not legal parent/guardian)  -  Click here

Insurance Opt Out (fill out only if you do not want to use your insurance benefits and do cash pay) -  English  -   Español