Client Intake Form
Please print and complete this intake form prior to the initial session. Please, bring the form with you to the first session - this saves time that would have to be set aside for paperwork. You can find the intake form here (the intake form is in pdf format and will open in a new browser window): Link to Intake Form.
If you accidentally forget or are unable to print out the intake form, please do not worry. We can complete the intake form at the beginning of the initial session.
I highly value client confidentiality, always maintaining professionalism and providing ethical and competent care. As a counselor and motivator, I work to understand where my clients currently are in their growth and encourage them towards positive lasting change and growth.

Love the LORD your God, listen to his voice, and hold fast to him.
For the LORD is your life. - Deuteronomy 30:20


