Client Forms

Request a Callback

Get a Call

Click on the Link Below to Download the PDF

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session.
This will help ease you into therapy and allow you as much time as possible to focus on yourself.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

To make a referral please complete form and fax to (920) 232-2338

Referral Form

Need More Help Than Just Consulting?