Helpful Forms For Your Visit
Intake Brochure
New client intake packet - To get started
https://intakeq.com/new/coyITc
Below are the electronic versions of the survey!
English- https://intakeq.com/new/127SAO
Spanish- https://intakeq.com/new/3ei4mk
Release of information
https://intakeq.com/c/AQsiMY
Treatment Plan Development Agreement (English)
https://intakeq.com/c/J0zGQL
Treatment Plan Development Agreement (Spanish)
https://intakeq.com/c/NWEMZJ
STEPPS attendance contract
Adult
https://intakeq.com/c/Y3yBQa
Adolescent
https://intakeq.com/c/uuoShU
Yearly update
https://intakeq.com/new/WnVNua
One time payment link: https://intakeq.com/c/RpYVHO
Credit card authorization form: https://intakeq.com/c/7Y0Rdw
Intake Packet
The link below will take you to the online version of our intake paperwork, this entails a questionnaire that covers information that would normally be requested in an intake appointment. This questionnaire is designed to allow you to send us information that is needed so your first appointment is more successful for you.
The forms will take approximately 15 to 20 minutes to complete. Please fill it out in its entirety so we may focus on the reason for your visit. This is a confidential system and you will be directed away from this website when you click on the link.
If you would prefer to print and complete your intake paperwork manually, select the file below.
