Welcome to our practice. We’re honored that you’ve chosen us for your mental health care. To help us understand your needs and provide you with the highest quality of personalized treatment, we ask all new patients to complete our secure online intake form prior to their first appointment.

The information you share allows our clinician to review your medical history, current concerns, and treatment goals, ensuring your visit is smooth, efficient, and focused entirely on your care.

Start Your Intake Form

Click below to begin your secure new-patient form:

If you are a returning patient, please use the link below:

Why We Require an Intake Form

Your intake form helps us:

  • Learn about your symptoms, history, and overall well-being
  • Understand any past or current medications
  • Review previous diagnoses or treatments
  • Identify safety concerns, allergies, or health conditions
  • Prepare an initial evaluation tailored to your needs

Providing accurate information helps us create a compassionate, effective, and individualized treatment plan from day one.

How It Works

Our intake form is completed securely online and typically takes about 10–15 minutes. Once submitted:

  • Our office will review your information.
  • We will verify your insurance if applicable.
  • We will prepare your chart prior to your first visit.
  • You will receive confirmation and any additional instructions if needed.

If you are unable to complete the form online, please contact our office and we will provide support or offer an alternative method.

Privacy and Security

Your privacy is extremely important to us. All information submitted through our intake form is encrypted and handled in accordance with HIPAA and our practice policies.
By completing the intake form, you acknowledge and agree to our Privacy Policy, Terms & Conditions, and SMS Terms.

Before You Begin

Please have the following ready:

  • A valid photo ID
  • Insurance card (if using insurance)
  • A list of current medications
  • Any previous mental health records you wish to share
  • Emergency contact information

Providing complete details helps us better understand you and begin your care as smoothly as possible.

Start Your Intake Form

Click below to begin your secure new-patient form:

If you are a returning patient, please use the link below: