Complete Intake Forms

Please complete all forms below before your first session.

Therapy Intake Form

General Anxiety Disorder (GAD-7)

Patient Health Questionnaire (PHQ-9)

Alcohol Use Disorders Identification Test (AUDIT)

Columbia-Suicide Severity Rating Scale (C-SSRS)

Consent and Policy Agreement

For your privacy and security, this form requires a secure signature.

Website forms and electronic messages are not monitored continuously and should not be used for urgent or emergency situations.
If you are experiencing thoughts of self-harm, suicidal thoughts, or a mental health crisis, please call or text 988 (Suicide & Crisis Lifeline), call 911, or go to the nearest emergency room.