Call: (603) 743-4004

Forms

If you are scheduled for an intake appointment:

*Please download the appropriate intake form and complete it prior to your appointment. For child intakes, the consent form part of the intake must be signed by both parents or guardians.

*Please bring the completed intake forms to your appointment.

*Please also download a copy of the “Welcome Letter” and review our office policies. If you have any questions about our policies, please let us know during your appointment.

Welcome Letter

Intake Form – Child

Intake Form – Adult

Couples Confidentiality Agreement