New Client Paperwork
For expedited intake, send required (*) forms via fax, (913)440-0309 or via email.
1) Create a Portal account. Request an intake appointment.
You will need an account to e-sign other paperwork before your first appointment.
2) Place deposit on intake appointment.
3) Print Intake Forms. Bring these completed forms to your first appointment.
If sessions involve children from 14-18, print and complete Counseling with Minors Form.
Questions about any of the forms? Click here to e-mail me.
Intake Forms *
Additional form below is necessary only if sessions involve children between 14 and 18 years old.
Counseling with Minors Form
It is highly recommended to view the map below.
Other Forms & Policies
Authorization for Release of Confidential Information
HIPAA Notice of Privacy Practices
Office entrance is accessible only when approaching from the south.
Zoom in to see exactly where the office is.
It's very easy to miss!