Thank You!

Thank you, you'll hear from us soon.

Thank you very much for taking the time to fill out our intake questionnaire form. We know that supplying this information can be difficult and time consuming, but it is very important to help us determining whether there is a good fit between the practice and your needs.

What's next?

The information you submitted will be reviewed by a clinician who will reach out to you during our regular business hours with next steps.

  • If it is determined that there is a good fit between the practice and your needs, we will provide instructions for how to schedule an intake appointment. The information you provided on this form will not just be beneficial in determining fit, but also in tailoring the intake session. This information can help your clinician uniquely design the intake session to assess on a deeper level clinical and therapeutic fit, in addition to treatment planning and goals.

  • If it is determined that there is not a good fit between the practice and your needs, we will provide some recommendations for referrals for other clinicians/practices to contact to find an appropriate match.