For Individual or Couples Therapy and if the patient is 18 years old or older.
Individuals, please complete both forms below.
Couples, please complete one copy of the Registration forms and a Life History Questionnaire for each individual.
When you click on the underlined links, they will open in a new window so you can print out the forms. Then you will need to fill in the forms in by hand.
Please bring completed forms to your first appointment.
The forms on this site require Adobe Reader which can be downloaded for free at http://get.adobe.com/reader/.