Intake Forms

For New Clients

Your First Visit to Our Office

It is important for your therapists to have an accurate representation of your medical history, medications, and the symptoms you are currently experiencing.  The first thing you will have to do is complete the intake forms for new patients.   All information is kept strictly confidential according to our Privacy Policies and current HIPAA regulations.   It is best if you complete these forms before you come in for your appointment.  You can stop in prior to your appointment and we will give you the forms to complete or you can click on the button below and print out the forms for completion.

Don’t worry if you are unable to complete the forms prior to your therapy evaluation.  If you were unable to complete the intake forms prior to your appointment, we strongly recommend you arrive 15 minutes prior to your scheduled appointment.   This will provide you with ample time to fill out the required paperwork.

Please bring the following to your 1st appointment:

  1. Driver’s License (Used to verify your identity)
  2. Primary Health Insurance Card
  3. Secondary Health Insurance Card (if applicable)
  4. Physician Prescription (not always needed – call for details)
  5. Comfortable Clothing