For new clients, please complete all Aspire intake forms electronically by using the Client Portal for Aspire—this is the easiest way to complete the intake forms. You should have received an invitation to the Client Portal from Therapy Notes. If you don’t have a portal account yet, please request one by emailing your clinician or our Intake Coordinator at [email protected]. To log in to the Client Portal, go here:
If you prefer, you can download PDF versions of the forms from below. If you choose to complete the PDF forms, bring those completed forms to your appointment.
Required Forms:
1. Consent for Services
2. Client Information
3. Notice of Privacy Practices + Receipt of Notice
*Please read the Notice of Privacy Practices; however, it is not necessary to print unless you would like a copy for your own records. Please sign the Receipt of Notice.
Optional form—If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the below Authorization of Release of Information Form either electronically or by downloading the PDF to authorize the release of Protected Health Information (“PHI”):