Important Intake Forms

Prior to your first appointment, please download, print and fill out the applicable forms from below 

 

Minor Intake Packet

*Fill out these forms if the client to be is below the age of 18

Adult Intake Packet

*Fill out these forms if the client to be is 18 years of age or older

 

EMDR Consent Form

*This form is included in the above intake packets. Download this individual form if you are interested in beginning EMDR treatment but didn’t sign this form initially.

 

Payment Authorization Form

 

Consultation Agreement Form

If Sarahlin Smith, LMSW, LCSW will be working with you or your business in consultation, please download and sign the below consultation agreement form.