Clinical Counseling Intakes ONLY:
If you're a new client, please complete the following forms
- IDC Session Intake * Please bring these documents to your first appointment*
- Please bring a Government ID to verify your identity.
- Please bring your insurance Card, ONLY if you are using health insurance (not applicable to EAP and Self-Payment)
- Please Review our Best Practice Tab, As a Courtesy For Your Own Knowledge.
- Please confirm your appointment via our Appointment Request Tab
- Feel Free to Self Schedule all future appointments via our website (Pending Approval by Office Staff After Submission
Care Coordination or Third Party Communication Forms:
Counseling Referral Form :
If you would like to refer a client to our agency, please feel free to contact us,