“The LORD bless you, and keep you:
The LORD make his face shine upon you, and be gracious unto you:
The LORD lift up his countenance upon you, and give you peace.” – Numbers 6:24-26


Click on the Form by name to open the Adobe PDF version of the form. Please print out the appropriate form and fill it out. This will expedite the intake process. Thank you.

Parental Questionnaire (Child Intake)
Adolescent/Child Intake (12-17 Years)
Adult Intake Form
Child Symptom Inventory – Parent Checklist