Please note that our office will be closed from May 1st, 2024 to June 7th, 2024.
Client Intake
If you're a new client, please choose the appropriate form below to fill out. All information you provide us with is private and secure. We'll get in contact with you as soon as we can.
Private Practice
General form for private practice clients.
Client Intake FormGambling Support
Intake form for problem gambling clients.
Gambling Support Intake Form