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Client Intake Form 

Please complete before your first appointment. 

Before your first appointment. 

Please take a few minutes to complete your secure client intake form. Your health information helps us tailor your session and keep you safe. All information is kept strictly confidential.

Secure, HIPAA-compliant form — opens in a new tab

01

Fill out online

Complete the form from your phone, tablet, or computer before your appointment.

02

Sign securely

Provide your electronic signature directly in the form
— no printing needed.

03

Come prepared

Your therapist reviews your form before the session so you can get started right away.

Prefer Paper?

Download & print the intake form

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