Intake Request Form

Please note that completing this form does not guarantee an appointment with us. We are a very busy practice and receive hundreds of requests per week. Also, we rarely have any openings for after-school or after-work times (unless it’s for one of our many groups). Our administrative team will do their best to reply to your request in a timely fashion.
Patient Forms
(to be completed after your intake has been scheduled)

To make your first office visit as effective as possible, please choose the appropriate form to complete and sign. The form can be completed and signed online, and then e-mailed to us. Or, the form can be printed out, completed by hand, and then brought with you to your initial appointment. Thank you.