Header Menu

New Page 5
 

Forms for Admission

Before your first appointment, please take time to fill out some information that will help us develop an appropriate treatment plan for you and your family.  Please come a few minutes early to your appointment to complete the forms if you are unable to do this at home.

All new clients should fill out a Social/Medical History form prior to their first appointment.  The form is available in English or Espaņol.  There is an adult version and a child/youth version that parents or guardians should fill out for their child.  Choose a form to print by clicking the language and age you need:

Social/Medical History (Adult- English)
Social/Medical History (Adult- Espaņol)
Social/Medical History (Child/Youth- English)
Social/Medical History (Child/Youth- Espaņol)

Adult substance abuse clients should also print and fill out an Adult Substance Abuse Intake form prior to their first appointment.  Click on the form below to print:

Adult Substance Abuse Intake (English)

New Page 5