Please refer back to the email you received regarding the specific forms for you to download.
Pay special attention to which financial agreement form you were instructed to download (full rate, sliding scale, or therapy fund), and complete it with the information specified in the email.
Download the appropriate forms, sign them, and then return them via email (please respond back to the original email you received with the link.)
When I receive the completed forms, you will receive a phone call or email to schedule your intake appointment.
Thank you, and I look forward to meeting you!
-Cassie
Pay special attention to which financial agreement form you were instructed to download (full rate, sliding scale, or therapy fund), and complete it with the information specified in the email.
Download the appropriate forms, sign them, and then return them via email (please respond back to the original email you received with the link.)
When I receive the completed forms, you will receive a phone call or email to schedule your intake appointment.
Thank you, and I look forward to meeting you!
-Cassie
Choose the correct New Client Form Below
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Please also complete the 2 screeners below:
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If you have doctor/psychiatrist/previous therapist/ ETC that I should connect with, please also complete an ROI:

Release of Information | |
File Size: | 206 kb |
File Type: |
For existing clients needing to complete their quarterly renewal for Sliding Scale or Therapy Fund rates, please choose the correct document below:
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