Please complete the following forms (Intake Questionnaire and Informed Consent) prior to your first appointment. If you have any questions feel free to get in touch with us through the contact page on this site.

Intake Questionnaire

Informed Consent

For Tri-Health EAP clients please also complete the Client Rights form below.

Tri-Health EAP Client Rights

If you would like us to obtain or release information to a 3rd party please complete the Release of Protected Health Information below.

Release of Protected Health Information

If you would like to update your insurance information please use the form below.

Insurance Information Update Form

If there have been any changes to your personal information please complete the form below.

Personal Information Update Form

If you need to update your credit card information please use the form below.

Credit Card Authorization