Forms
Make it quick! – Filling out these 3 simple forms will make your first therapy session a SNAP!
Please print, complete and bring these forms to your first appointment:
Choose One
- Adult Intake Form
- Parent Authorization, Agreement and Consent for Treatment of Child
- Couples Intake Form
Forms for Medication appointments
- Dr. Sesta
- Adult Intake Form
- Dr. Underhill
- Adult Intake Form
- Dr. David Jackson
- Intake Instruction Packet
- Background Questionnaire
- Consent for tx with MP and MD collaboration
- Authorization for Disclosure of PHI to MD
- Authorization for Disclosure of PHI to School
Busy Schedule? Email or Fax your completed forms in advance and we process your insurance and paperwork prior to your first visit!