Intake Forms

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Download the intake forms below and fill them out before your first appointment.
This will speed up the paperwork process so we can get to know you better at your first visit.

Adult Forms

Intake Form

Adult Pre-Treatment Questionnaire

Financial Policy

 

Child / Adolescent Forms

Child-Adol Pre-treatment Questionnaire

Intake Form

Financial Policy

 

Additional Resources 

Alcohol CAGE

Gamblers Anonymous 20 Questions

Grounds For Involuntary Termination

EMDR Brochure for Clients

Clients Rights and Grievances

Release of Information