If you're a first-time client the easiest option is to pick out the intake packet appropriate below and print it out on your computer and fill it out. Bring the filled out for to your first appointment. You can ask your therapist on the phone or email which packet is right for you. To open the packet you just need to click on the right form. eg. adult biograpical is for an adult, child if for children below 12 etc.
If you do not have a printer please plan on coming into the office an hour early to fill out paperwork or stop at the office and pick up the forms in the waiting room before your appointment or email us and we can send an intake packet to you as an attachment.
For all psychological assessments or forms for insurance, LTD, Workman's Comp, FMLA,, medical records, MRFCA, Bariatric Assessment form, or other types of evaluations the appropriate form below is listed but other testing materials may be required at the time of you appointments.
Also: If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form. To read our policies and procedures you may download our manual and read it below. Coordination of care forms for your doctor are in intake packets.
- Consent to Release Information Form
- serfiles/107730/file/Adult Biographical Packet(1).pdf
- Inner Access Therapy Center Policies and procedures for SA services
- userfiles/107730/file/CHILD INFORMATIN INTAKE(1).pdf
- userfiles/107730/file/Adult SA Eval(1).tif
- userfiles/107730/file/teen packet[(1).pdf
- userfiles/107730/file/COUPLES INFORMATION(1).pdf
| Consent to Release Information
serfiles/107730/file/Adult Biographical Packet(1).pdf
userfiles/107730/file/CHILD INFORMATIN INTAKE(1).pdf
userfiles/107730/file/Adult SA Eval(1).tif
| Consent for release
Biographical Packet new client
Children's Packet new client
Substance Abuse Adult - New Client
| Inner Access Therapy Policies and Procedures for SA Services
||Policies and procedures|
Note: To download Adobe Acrobat Reader for free, click here.
To schedule an appointment by phone, call 616-527-2619 or fill out the form below: