Online Client Intake Form
Complete our Client Intake Packet electronically below. We recommend you use the Chrome Browser.
Below is a multi-step online form. There are 12 different sections and you must complete each section before moving on to the next. Make sure to complete the form, sign it, and submit it all in one sitting.
It's very difficult to complete on a phone. We highly recommend using the Chrome Browser on a computer. (The Safari browser does not work well.) If you do not use Chrome, you may want to download the PDF version.
If you use Aetna as your primary insurance, you must also sign and upload (or mail) the signature forms that Aetna requires. Download the Aetna Signature forms on our Client Intake Packet Page.