balance psychotherapy

Intake Forms

 
 

Intake Forms

 

01 Registration Form

We need your current information, so please fill out the online Registration Form.

*The online form is secure and no information will be compromised.

 

02 Privacy Notice

If you're able to print, please print, sign, and bring the document with you to your session. If you can't print, don't worry, I'll have one at the office.