If you are a new client, please complete an Intake Form online, or print the paper form, complete it, and bring it with you to your first session.
Complete Your Intake Form Online:
- Intake Form online
Download Paper Forms:
- Intake Form paper
- Mood Assessment (Quick Test)
- Financial Assistance Application Form (if needed)
- Symptom Measures
Couples may be asked to complete one of the following.
Any of our assessments can be taken online. Email us at SynCounselCntr@aol.com and request online assessments.
If you would like for us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the form below to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.