top of page

New Clients

If you are interested in you or your child becoming clients of our practice, please read the following useful information.


All new clients who are seeking ABA therapy, mental health therapy or psychological evaluations are required to complete a New Client Intake Packet prior to scheduling an appointment. This form is located below and is a fillable PDF you can type into or print and hand write.


Once our office receives your packet, office personnel will verify insurance benefits and call you to schedule your first appointment.

Mental Health Intakes

This form is for all new clients looking for mental health services. We provide evaluations and ongoing therapy for children and adolescents. Common issues include ADHD, Autism, Developmental Delays, Language Delays, Learning Issues, Anxiety, Depression, and Behavioral Difficulties.

We also provide limited evaluations  for Adults specific to ADHD and/or Autism Spectrum Disorders. We do not provide therapy for adults. 

Please be sure to E-Sign prior to submitting your Intake. If you are having trouble attaching any documents, please send them to after submitting your form. 

*For adults over the age of 18 wanting an evaluation, please email ""

ABA Therapy Intakes

This form is for families seeking ABA therapy and have an existing diagnosis of Autism.


This form is not for families seeking an evaluation. Please fill out the mental health form for all evaluations.

ABA therapy targets skill deficits and behavioral excesses in order to improve the quality of life of individuals and their families. 

Please be sure to E-Sign prior to submitting your Intake. If you are having trouble attaching any documents, please send them to after submitting your form. 

Preparing for Your Appointment

Gather the necessary documents. Bring the following to your first appointment:

  • Insurance Card

  • Driver’s License

  • Previous Evaluations

  • School Reports (IEPs, 504 plans, FBAs)

  • List of any medications, including vitamins, herbs and over-the-counter medicines, your child is taking.

  • Custody Agreement, if applicable


Arrive early. Please plan to arrive 15 minutes before your scheduled appointment so we can process your paperwork.


Before you visit us in person, we recommend that you prepare adequately so you can get the most out of your appointment with your provider.

  • Gather any documentation of the issue you’d like to discuss with the provider. For example, if you’re concerned about behaviors at school, obtain information from the teacher in writing about these issues prior to the first appointment.

  • Check your insurance coverage. Know what your co-pay will be and be prepared to pay it at the time you check in for your child’s appointment.

  • Bring payment.

  • Write down questions and concerns. There may be a lot you want to cover during your appointment, and sometimes it is easy to forget everything you want to discuss once the appointment begins. Bring a written list of the topics you would like to discuss as well as a notebook to take notes as you meet with your provider.

  • Bring toys, snacks, diapers or whatever you need to entertain and comfort your child. We do not ever expect long wait times in the waiting room, but sometimes appointments back up. Be sure you have whatever you need to soothe your child if you need to wait.

  • Help your child get emotionally prepared. Children and teens can benefit from being told by their parents what to expect at their first appointment. They usually experience less anxiety when they know what will happen—and why.

  • Please assure them we do not give "shots."

  • Keep unnecessary visitors to a minimum. Our waiting area and therapy rooms are small and can become overcrowded easily. We do not have staff on hand to babysit or watch other children/siblings.

bottom of page