Forms to Complete for Couples or Family Therapy
Please complete the required fields and then submit on the documents below in order to setup a patient account. Upon receipt of your completed forms, we will contact you with an appointment if we have an opening at the time your application is processed. If you do not hear from us, it means that we were unable to find an appropriate placement, and we do recommend continuing your search for a provider.
During the first 30 days, appointments are given on a ‘first come, first served’ basis by the date your documents are received. After 30 days, we recommend that you call our office regularly to check for openings. Barring any insurance or treatment issues, anyone who contacts us and has an intake on file longer than 30 days will be placed in an opening if one is available at the time of their call. Additional forms may be requested at the time of placement with a therapist.