New Client Intake Form

Thank you in advance for taking the time to fill this form out. It will give me the opportunity to know some things about you before we get started, and it might help to "stir the pot" for you as well. This form is confidential; I’m the only one who will see it. Please fill it out and send it in at least 24 hours before your first session.

Please note: this is not the kind of form that you can edit or come back to. I recommend copying the questions into a document and preparing your answers there so you don’t lose anything you’ve typed.