Step 1 in the scheduling process.
IntakeQ is a secure HIPAA-compliant platform. Your personal information will not be used in any way other than to gather relevant information to help us determine how we can best meet your needs.
This form takes approximately 3-10 minutes to complete. Not all fields are required, however, the more information you provide now the better we can match you to a therapist, and the less likely it is that we will have questions before we are able to schedule.
We look forward to working with you and/or your family.