Let’s Get Started!

Schedule Your Appointment Date

For Children under 18 years old, please have a parent or guardian to fill out the following:

• Minors Intake PDF │ Online Form

• Consent to Treat a Minor PDF │ Online Form

• Confidentiality and Cancellation Policy PDF │ Online Form

For Clients 18 years old and above,

• Client Intake PDF │ Online Form

• Confidentiality and Cancellation Policy PDF │ Online Form

For Couples, fill out the following:

• Client Intake PDF │ Online Form

• Couples Intake PDF │ Online Form

• Confidentiality and Cancellation Policy PDF │ Online Form

The information you provide here is held to the same standards of confidentiality as our therapy.
If you would like us to coordinate care with another provider (for example: your psychiatrist or primary care
physician) please fill out and submit online or print out and complete the "Authorization Form" in order to
authorize release of psychotherapy information.

• Authorization PDF │ Online Form