Forms & documents
Paperwork, handled securely
Intake forms, documents, IDs, and insurance cards all move through our secure patient portal, where they're protected inside our records system — never through ordinary web forms or email.
Intake paperwork
Complete intake in the patient portal
For your privacy, clinical forms are never collected on this website. Everything happens inside TherapyPortal, the secure client site of our records system.
- Request an appointment (online, by phone, or by email) and we create your chart.
- You receive a TherapyPortal invitation by email within one business day.
- Complete, sign, and submit your intake paperwork in the portal before your first video visit.
Sign in to complete your forms
Review, complete, and electronically sign your intake paperwork in the portal. Your responses go straight into your chart; nothing travels by email.
Open the secure patient portalNo portal account yet? Call (220) 205-2035 and we'll send you an invitation.
If this is an emergency, do not use this website. Forms and messages are not monitored for urgent medical needs. In a crisis, call or text 988, call 911, or go to the nearest emergency room.
Sending us documents
Share records and documents through the portal
Photo ID, insurance cards, prior records, referral letters, and completed paper forms are shared securely inside the portal. Please don't email documents or health information; email isn't a secure channel for them.
Send documents securely
Use the portal's secure messaging and document sharing to get files to our team; they arrive directly in your chart.
Open the portal to send documentsNo portal account yet? Call (220) 205-2035 and we'll send you an invitation.
Download
Printable patient forms
Prefer to read or draft on paper first? Download and print these, then enter your answers in the portal, or have your notes handy during your video visit.
Completed paper forms shouldn't be emailed. Submit them through the portal, or call (220) 205-2035 and we'll walk through them together.
- New Patient Intake PacketThe full intake, printable for those who prefer to work on paper first.PDF
- Telehealth Consent FormRequired once before your first video visit.PDF
- Release of InformationLets us share records with another provider, school, or family member you choose.PDF
- Financial PolicyBilling, copays, and missed-appointment policy in plain language.PDF
Why we work this way
Your privacy is the point
Portal submissions are protected inside our records system, with safeguards ordinary web forms and email don't have.
Electronic signatures in the portal are valid, dated, and stored with your chart automatically.
The portal works from the same phone, tablet, or computer you'll use for your video visits.
