Intake Forms & Privacy Policy

To save time, please download appropriate forms, print and fill before you come in for your appointment

Adult Intake Forms

Download Adult Intake Forms Packet

Packet contains:

1. Welcome Letter

2. New Client Info

3. Checklist for Adults

4. Release of Information (Please complete this form if you would like your provider to be able to coordinate care or receive records from another provider)

Children/Youth Intake Forms

Download Children/Youth Intake Forms Packet

Packet contains:

1. Welcome Letter

2. New Client Info

3. Checklist for Children/Youth

4. Release of Information (Please complete this form if you would like your provider to be able to coordinate care or receive records from another provider)

Become a LOVE and LOGIC Parent