Client Forms

  • Sliding Scale Application

    We offer services to all clients regardless of ability to pay. Please complete this application and provide supporting documentation to be reviewed for participation in this program.

  • New Client Forms

    If you are new to working with us, please be sure to fill out each of the following forms, and bring them to your first session.

  • ALERT Wellness Forms

    Medicaid clients, please fill out this form and bring it to your first session.

  • Release of Information

    If you feel that you would like to collaborate your session with another provider, please fill out the following form.