Online Adult Intake Form
Use this form if you are an adult seeking either individual or couple's counseling. In addition, you will need to print out and sign the Consent for Treatment form. Please bring it to your first session.
(FyI) The online form is a new addition to my practice! Please let me know if you have any issues with it at karenpattonpsyd@gmail.com.
This form is SSL encrypted for your security.