Let’s make sure this is the right fit for you. This form isn’t an official intake—just a way to get a sense of your goals, what’s been challenging in past therapy (if you’ve been before), and what kind of support you’re looking for. I know forms can feel like a lot, so take your time, share what feels relevant, and skip anything that doesn’t feel necessary. Once I review your responses, I’ll follow up with next steps!
a b c d e f g h i j k l m n o - Do not remove from template!!! it is important to support different fonts
P.O. Box 29, Wayne PA 19087