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Initial Intake Documents

**NOTE: Any new patient requesting a teletherapy appointment for their initial session must complete all of their intake paperwork and email it to 48 hours or more prior to their appointment. Otherwise, you will be expected to attend your initial appointment in person. Thank you!

Fill out if you would like your therapist
to talk to a doctor, psychiatrist, etc. 

Fill out if you are not using insurance and are paying out of pocket. Your therapist will discuss a self-pay rate with you. 

Read and fill out if you are scheduling a minor (under age 18) for counseling.

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