Access the forms you may need for intake, insurance verification, and related administrative steps before your first appointment.

Important: If you want to save fillable PDFs and come back to them later, download the file and open it in Adobe Reader. Chrome and Chromebooks may not preserve your entries correctly.

Please have a copy of the front and back of your insurance card ready to return with your paperwork if your intake specialist requests it.

Shared Intake & Policy Documents

• Privacy Notice
• Basic Information and Agreement (BIAS) Form
• Telehealth Informed Consent Form
• Consentimiento informado de Telesalud
• Consent to Treatment Form
• Acknowledgement of Privacy
• No Show-Late Cancellation Policy
• Financial Responsibility Form — March 2023
• Rights and Responsibilities
• Grievance Form

Adult Intake Forms

• Adult Intake Form
• Adult All-in-One Registration Packet

Child & Adolescent Intake Forms

• Intake Form — Child and Adolescent

If you’re unsure which forms to complete, use the contact form below and our team will help point you in the right direction.