Adult Intake Form

Thank you for taking the time to complete this information. It will be used to help navigate the time that we have working together. If both you and your spouse are participating in the sessions, two separate forms need to be completed apart from the other spouse.

Please dedicate 30-60 minutes of uninterrupted time to thoughtfully answer each question. If you need to step away while in the middle of filling out the form, you can "Save and continue later" with the personal link that will be emailed to you.