Book An Appointment

Download the Intake and Service Option Form

Introduction

Below is all the information needed for getting started in three easy steps.

For information about booking services for couples and families, using your extended benefits, payment timing and options, how packages are broken down on receipts, clinical hours, etc., is available on the FAQs page.

use your extended benefits

How to Book An Appointment

Getting started with any of our services or packages is as easy as 1-2-3.

1. Download the Intake and Service Option Form

The first step is to download the current Intake and Service Option Form to your computer. This form describes the hourly service and packages we provide, as well as their costs. (The date on the current form is January 1, 2026.)

  • If you would like a password-protected form, please send us a note using the Contact Form, and we will send you one.

2. Complete the Intake and Services Option Form

The second step is to complete the Intake and Service Option Form either on your computer, tablet, or phone.

Note: Since this form dovetails with our accounting and charting system, we require the form back “as is” – not scanned, and not electronically signed. Please type your name in the signature box (do not use the “signature” feature in Adobe).

  • If you are using a Windows computer, please complete the form using the free Adobe Acrobat online fill and sign tool.
  • If you are using a Mac computer, please complete the form using Preview.
  • *If needed, a downloadable PDF with step-by-step instructions for completing the form is available.

3. Email the complete Intake and Service Option Form

The third step is to email the completed Intake and Service Option Form “as is” (not scanned) to our office. The email address is on the form.

where to email form

  • Please attach the actual pdf of the Intake and Service Option Form, not a link.
  • Please send the completed form, along with a downloaded PDF report of your most recent lab test results, to the address on the first page of the form.

Note: Copies of lab work need to be received before booking services. Please send what is available so we can get started.

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Please note: At this time, all services are provided via a secure telehealth portal.

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