top of page

Thank you for providing the following information. Please download and print necessary documents and bring them with you to your first visit.  We look forward to meeting you!

 

 

 Client Demographics

Adult Intake Packet

Child Intake Packet

Ketamine Intake Packet

Release of Information

Tele - Behavioral
Health Agreement 

Private Pay Agreement

Adobe PDF Documents can be downloaded and completed on your computer then printed. 

bottom of page