For new clients, please complete the Aspire Intake Forms electronically by clicking the button below:

Aspire Intake Forms

If you would rather bring hard copies to your first therapy session, please click the PDF icons below each form to download the PDF. You can also access the form electronically by clicking the buttons.

Required Forms:

1. Consent for Services

CONSENT FOR SERVICES FORM

2. Client Information

Client Information Form

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.

NOPP + Receipt of NOPP Forms

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”):

Authorization for Release of Information

Authorization for Release of Information