Online Client Intake Packet
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.
Do not complete packet using Safari or an iPhone. It will not submit correctly.
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.