Client Forms
Download and complete your intake forms.
All forms must be completed and returned to your therapist before your first session can begin. Download the packet that matches your service type below. If any form is inaccessible to you, let your therapist know and they will make accommodations.
Before your first session: Download all forms in your section, complete them, and return them to your therapist. If you're unsure which packet applies to you, ask your therapist.
Section 1
Individual Therapy
Client Informed Consent
Adult Intake Form
Telehealth Consent Form
CAMFT Notice of Privacy Practices
CAMFT Acknowledgment of Receipt of Privacy Practices
Covid-19 Release of Liability
Section 2
Couples Therapy
Each partner should complete the Adult Intake Form and Informed Consent separately. The Couples Intake Form is completed together.
Client Informed Consent
Adult Intake Form
Couples Intake Form
Telehealth Consent Form
CAMFT Notice of Privacy Practices
CAMFT Acknowledgment of Receipt of Privacy Practices
Covid-19 Release of Liability
Section 3
Children & Teens
Download the intake form that matches your child's age. All other forms apply to all minors. The parent or guardian must complete the Consent to Treat a Minor form.
Child Intake Form
Teen Intake Form (Ages 12–17)
Client Informed Consent
Consent to Treat a Minor
Children & Adolescents Telehealth Consent
CAMFT Notice of Privacy Practices
CAMFT Acknowledgment of Receipt of Privacy Practices
Covid-19 Release of Liability
If any form is inaccessible to you or your child, please let your therapist know — they will make accommodations.
Formularios de Admisión en Español
Estos formularios deben completarse y devolverse a su terapeuta antes de poder comenzar su primera sesión. Si esta tarea no es accesible para usted, por favor infórmeselo a su terapeuta para que pueda hacer una adaptación.
Cuestionario de Admisión de Adultos / Adult Intake
Consentimiento informado del paciente / Informed Consent
Cuestionario de admisión de parejas / Couples Intake
Cuestionario de admisión de niños / Child Intake
Consentimiento de telesalud / Telehealth Consent
Consentimiento para tratar a un menor / Consent to Treat a Minor
Divulgación de información / Release of Information
CAMFT Prácticas de privacidad / HIPAA Privacy Notice
Covid-19 Liberación de responsabilidad / Release of Liability
Formulario de consentimiento pro bono / Pro Bono Release
Section 5
Additional Forms
These forms are used as needed — your therapist will let you know if any apply to your situation.
Release of Information
Pro Bono Agreement
Walk & Talk Release Form
Therapy Never Includes Sexual Behavior