Forms For Intake
Before your first appointment/intake, please print and fill out the appropriate intake forms.
The first column: Intake Forms are required by all individuals seeking counseling. If you are seeking services for your child and they are 12 or younger, please have the primary caregiver(s) fill out the documents about the child. If the youth is 13-17, please have them fill out as much as they can and they will sign on the "Client/Individual" signature lines. Please assist your child in completing the forms in totality.
The second and third columns are assessments based on age. Any documents in the Youth section that state, "Caregiver" after it should be filled out by the primary caregiver(s). Any youth age 7 and up can fill out the "Youth" labeled forms. Younger children may need assistance in understanding some of the questions and caregivers may assist or may choose to wait until we meet and I will help the youth complete the forms.