Your journey to mental wellness begins with completing our intake form below. Once completed, you will be contacted within 5-7 business days for your initial appointment. From there we will assess your needs and provide you with a personalized care plan to help meet all of your mental health milestones.

GENERAL INTAKE FORM
RELEASE OF INFORMATION FORM (PDF)

If you are experiencing a medical emergency or mental health crisis, please call 911 or visit your local emergency room. 

THIS FORM SHOULD ONLY BE COMPLETED

BY A LICENSED CLINICIAN

ADULT PRP REFERRAL FORM (DIGITAl)
ADULT PRP REFERRAL FORM (PDF)
CHILD PRP REFERRRAL FORM (DIGITAL)
CHILD PRP REFERRAL FORM (PDF)