New Client Information

Please fill out the following form to provide us more information. This form should be completed prior to your first appointment. If you are a parent, please fill out this form for multiple children. Please submit one form per child.

Additionally, please download and print the attached forms and bring completed to your first session based on what services you are requesting. If you are unsure, please contact us at

Name *
Child's name (if applicable)
Child's name (if applicable)
Phone *
How did you hear about us?