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Pre Intake Form


At the first appointment (called the intake) there is some paperwork to fill out before we get started.
After everything is completed, you and the therapist sit and talk about what brought you to our office. This is normally very conversational, question and answer, and casual to help you feel comfortable. Then, if there is a child involved or you are interested in art therapy, you go into the art room to draw. At the end, there is time to answer any questions you may have. The whole intake, including paperwork, is about 45min to an hour.


In-Network provider with Anthem (Blue Cross Blue Shield, Blue Care, etc.), Aetna, TRICARE, Magellan, Optum, Medicaid, Charter Oak, and Husky.
Most other insurances accepted as out-of-network.
A sliding scale is available for payment without insurance.
Payment by Cash, Check, and Credit Card.


Discrimination is prohibited based upon age, gender, race, creed, sexual orientation, income, etc.


If you have been advised by our office to submit forms before coming in, Click here.