New Clients
After you have requested an appointment through the form at the bottom of this page, you will be contacted by our office manager or your potential new counselor. They will assist you set up with your next steps in starting therapy. If you set up an appointment with your counselor, they will let you know which forms you will need to complete. Normally, the forms are sent through our online client portal. Ask your counselor for details.
Our intake forms are also available to the right. Simply print, complete, & bring the appropriate forms to your first appointment. If you have scheduled an online appointment, you can mail the forms to our main office:
700 Frederick St. Suite 103
Santa Cruz, CA 95062
If you do not have access to a computer, or the if you are not familiar with the technology, please arrange to arrive early for your first appointment to complete paper copies of the forms. Your counselor can leave them for you in the waiting room. Please allow approximately 30 minutes to complete the paperwork. Thank you!
Print these forms if you cannot use the Client Portal. Return your signed copy to your counselor by paper, fax or email.
For All Clients:
- New Client Information Form
- Consent For Services
- Client History Form (Adults Only. For Youth, Use the Youth Versions)
- Payment Authorization
- Insurance Information
- Notice of Privacy Practices
- Release of Information
- Important Contacts Form
Special Forms for Children or Teens:
Special Forms for Couple/Family or Group Therapy:
Fax Your Forms:
831-417-0443
Request an Appointment
We have openings in all our offices and via telehealth. You don't have to wait around on a wait list. Use our form to get matched with a therapist who will be a good fit for you.
