Effective     |     

Convenient     |     


Online Therapy Intake Forms

Please download the forms below and save them to your computer, phone or tablet.. These are fillable PDF forms and you should be able to fill them up, sign and email back to us.

We analyze the information provided by you about your needs and requirements on our intake form. Therefore, we request you to download the form to your device and take your time to provide detailed information about your concerns. Please follow the instructions below to download the forms:
  • If you are using a browser on a computer/laptop, please go to the "Forms" page on our website and scroll to the relevant form. Right click on the link to the form and select "Save Link as" option to save the form to your device.
  • On your Phone or tablet please go to the "Forms" page on our website and scroll to the relevant form. Click on the Form link and use the option to open the file in Adobe PDF Reader. You can download the app from the link given below:
 Adobe Reader for Android Devices

 Adobe Reader for iOS Devices

 Adobe Reader for Computer

Online Therapy

Online therapy is an effective, convenient, and safe way to get the help you need to live a healthy and happy life. Please contact us at your earliest convenience and start the recovery process.

Email Us


+1 833-835-7792

+1 833-TEL-PSYC

+1 866-299-2424