Make a Referral/Intake


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Mental health intake form

INTAKE FORMS

Please take some time to complete these intake forms for you or your child

Signed In-take Form

This will take you through the process of completing the intake and release of information forms. The signed forms will be sent to your email address once completed.

Clicke here to get started

Screening Form

This will take you through the process of completing the intake and release of information forms. The signed forms will be sent to your email address once completed.

Clicke here to get started

Telehealth Consent Form

Click the button below this will take you through the complete and sign our telemedicine/teletherapy consent forms .

telemedicine consent form