Client Intake Forms
Select a form below to get started
General Therapy & Coaching
Complete a general intake form for therapy and coaching services.
Ketamine Assisted Psychotherapy
Complete an intake form for ketamine assisted psychotherapy services.
Resume a Form
Pick up where you left off using your phone number and PIN.
Why Do We Need These Forms?
Your time in session is valuable — and expensive. Every minute spent on paperwork or background questions is a minute not spent on the work that actually matters to you.
By completing your intake ahead of time, your practitioner can review your history, understand your goals, and come to your first session ready to focus on you— not a clipboard. It means fewer sessions spent “catching up” and more sessions spent making real progress.
It also keeps costs down. Less administrative time means your practitioner can keep session rates reasonable and dedicate their energy where it counts: your care.
How Do We Protect Your Information?
Everything you enter here is encrypted — both while it travels to our servers and while it's stored. Think of it like putting your answers in a locked safe that only your practitioner has the key to.
We follow HIPAA rules, the federal law that governs how health information must be handled. That means strict access controls, audit logs of who views what, and no sharing your information with anyone outside your care.
We don't use tracking cookies, we don't sell data, and we don't let advertisers anywhere near your information. Read our full privacy policy for the details.