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INTAKE PAPERWORK 

ADULT 18+ INITIAL INTAKE PAPERWORK

Are you seeking support to overcome A LIFE CHALLENGE OR DIFFICULT SITUATION? 

We have Therapists that will fit your needs without the long wait or high fees. Our client care team is available to answer your questions and get you scheduled with a therapist suited for you.

After speaking with a member of our client care team to schedule an appointment with one of our highly trained and compassionate providers, please fill out the intake paperwork below to ensure all your information is gathered in a timely manner. Please continue to contact us if you have any questions. We are here to help!

Note: The paperwork below is only for new clients of 18 years or older interested in therapy. 

If you are younger than 18 years old or interested in medication management & other nurse practitioner services, please contact our client care team (link above) to be sent the correct paperwork.