Intake Paperwork

Once again, I am so sorry there is so much paperwork to fill out! It is important though, so please be sure to read it before signing it. I have included instructions below to let you know which forms you may need.

Please print out the forms that apply to you and mail them to me at 1200 Walnut Bottom Dr., Suite 102, Carlisle PA, 17015 or bring them to our first appointment together.

If you have any questions or concerns about the paperwork, please don’t hesitate to call me at 717-219-4339.

Forms required for all clients:

If you want to engage in communication via text or the client portal, you will need to complete this form as well.

Telehealth clients will also need these forms:

(If you are not a telehealth client but would like the opportunity to shift into telehealth in case of illness or convenience, you might also want to complete these forms.)