We appreciate your role in supporting the individual seeking therapy. As their guardian, completing this intake form is an essential step in ensuring they receive the best possible care. Your input will help us create a supportive and personalized experience tailored to their needs.
Your privacy and confidentiality are important to us. The information you provide will be used solely to support the therapeutic process. Please take your time completing the form, and if you have any questions or need assistance, don’t hesitate to reach out—we are here to help.
Important Information:
- As the legal guardian, your signature is required in two places within the form. You can sign easily from a mobile device, tablet, or computer.
- The form must be completed in one sitting, as responses do not save. It should take approximately 10 minutes to complete.
- Click Submit once you have finished.
- If you have any questions or encounter any issues, please contact our office for assistance.
Thank you for your time and for supporting this process.