It is extremely important that you understand the policies and procedures of our practice. Treatment can only proceed following review of these forms, policies and understanding of the Consent for Treatment. We take your treatment seriously and are available to answer all questions you may have prior to agreeing to any treatment services.

Clinical Forms

Please complete the appropriate forms prior to your counseling appointment.
  • Client Intake
  • Release of Information
  • Telemental Health Informed Consent
  • Payment Expectations
  • Acknowledgement of Clinical Practice Information

Complete Required Clinical Health Forms

After completing the Clinical Health Forms online, please check your email for a confirmation email, as well as submit a copy of your Driver's License and Insurance below.


Please review our policies and sign the acceptance of policy form.

Submit Forms

Please use the form below to securely submit any documents.
You may also email your forms to

    * File size must not exceed 5mb