Confidential Intake Form
Please fill out the Confidential Intake Form to give us some background about you and how we might assist you.
You have several options for filling out the form. Use one of the options that best suits you.
- Fill out the online form. This option allows you to fill out the form without having to download anything. You also have the option to save your progress and continue later. When you use the save and continue later option, you will be given a private URL that you can save, or have emailed to you, that only you can access. You can then access this URL from any device and continue where you left off.
- Fill out and print the Fillable PDF. This option allows you to download a PDF that is set up to allow you to fill it out on you computer. You will be able to type in your answers and then print or email the PDF.
- Print and fill out the Standard PDF. This options allows you to download a PDF that you can print and then fill out by hand. Once filled out you can mail it or bring it with you to your first meeting.
Download a PDF that you can fill out before printing.