New Patient Form
First Session Information & Important Paperwork
Because counseling involves a professional relationship, we need to agree on the terms of our work together. Please complete a Child or Adult Form (if applicable). If you are booking with our intern, please complete an Intern Consent Form, Intern Consent to Record, Intern Informed Consent, New Client Form, and a Child or Adult Form (if applicable). Please provide your photo identification and health insurance card when presenting the forms. If you have any questions and require clarification, please be sure to ask us. Failure to complete the forms before the session will delay treatment.
Prior to your Appointment
Be sure to call the toll free number on the back of your health insurance card to find out if your plan includes mental health benefits. If mental health benefits are covered, ask for the following information:
Number of sessions covered per benefit period
Amount of the deductible and co-pay
Authorization needed for your appointment
After you’ve completed your New Intake Forms, please submit them to schedule your appointment. You will need to bring your health insurance card and photo identification as well.