If you are wanting to set up a new patient appointment please give the office a call first at (386) 423-9161 and speak with one of our intake specialist. We try our best to find the Counselor or Provider that is the right fit for you. Once you have an appointment we will ask you to return here to complete the needed forms based on your appointment type. Paperwork, ID and copies of the front and back of your insurance card are due the week before your scheduled appointment. Thank you for understanding.

**NEW PATIENT PAPERWORK** -
**All new patients must complete this paperwork and submit it to the office before your appointment.**
**You can complete by digital signature and digital submission by clicking here** **New Patient Paperwork** **or by PDF by clicking the paper/pencil icon.**

Questionnaires — **QUESTIONNAIRE for MEDICATION MANAGEMENT -**
**Please complete and bring with you to your first session if you are being evaluated by a prescriber for medications.**

**CONTROLLED SUBSTANCE AGREEMENT** -
**Please complete and bring with you to your first session if you are being evaluated by a prescriber for medications.**
**You can complete by digital signature and digital submission by clicking here** **Controlled Substance Agreement** **or by PDF by clicking on the paper icon.**

PATIENT INTAKE FORM — **ADULT HISTORY INTAKE FORM -**
**Please complete and bring with you to your first session.**

COUPLES INTAKE FORM — **COUPLES HISTORY INTAKE FORM -**
**Please complete and bring with you to your first session.**

CHILD INTAKE FORM — **CHILD HISTORY INTAKE FORM -**
**Please complete and bring with you to your first session.**

Innovative Care by Expert Clinicians