Intake Form Options

Register with us through our Intake Form

*The Intake Form Will Greatly Assist Us to Provide More Information

To register with us, please fill out one of the INTAKE FORMS below. They are the same, but there 2 options (online & submit, or download the pdf file & print to use pen and paper). Use the method most convenient to you.

*If you would rather complete the intake form on the phone with one of our team members, you have the option to be interviewed (over the phone). However, a fee may be incurred depending on the length of the interview session.

Intake Form Option to Fill out Online and Submit


Intake Form Option to Download Pdf form to Print


Terms of Agreement Option to Download Pdf form to Print


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