Get Started

We are looking forward to treating your family member and wanted to give you a head start in printing, reading over and signing the necessary forms so that we may focus completely on you or your child during our upcoming appointment.  Please fill out the forms to the best of your ability.  It is important to be thorough on the Intake Form.  Background information is pertinent and the intake form assists us in the planning and treatment of our clients.  Please bring the completed paperwork to our scheduled appointment time.  We appreciate YOU!

STEP 1: Request for Services - If you are a Private Pay Client and you are inquiring or requesting services START HERE

STEP 2: Patient History Intake - For Regional Center Funded Clients and Private Pay Clients

STEP 3: Notices for Privacy Policies and Practices - For Regional Center Funded Clients and Private Pay Clients

STEP 4: Release of Records - For Regional Center Funded Clients and Private Pay Clients

STEP 5: Consent to Photograph, Video or Audio Record - For Regional Center Funded Clients and Private Pay Clients

STEP 6: School or Daycare Visit Consent - For Regional Center Funded Clients and Private Pay Clients who are seen at a school or daycare facility

STEP 7: Policies and Procedures for Regional Center Funded Clients - For Regional Center Clients ONLY

STEP 8: Policies and Procedures for Private Pay Clients - For Private Pay Clients ONLY