Intake Forms
UPDATE: As of 1/1/2022, all intake and administrative forms will now be administered and stored securely in your personal client portal once an initial appointment is made and an invitation email is sent to complete the forms. The forms below will typically not be needed anymore unless your provider requests one or more for a specific purpose. We recommend that you do not email any completed forms to us as email is not always secure.
Dr. John Anderson's forms:
| jaapi_new_client_data_form.pdf |
| jaapi_adult_intake_questionnaire_2015.pdf |
| jaapi_child_adolescent_intake_questionnaire_2015.pdf |
| jaapi_therapist_client_agreement_2015.pdf |
| jaapi_notice_of_privacy_practice.pdf |
Bev Anderson's forms:
| ba_new_client_data_form.pdf |
| ba_adult_intake_questionnaire.pdf |
| statement_of_disclosure_10.22.pdf |
| jaapi_notice_of_privacy_practice.pdf |
Marriage/Couple Therapy
| marriage_history.pdf |
Special Covid-19 Consent for In-Person Services
| covid_informed_consent_for_in.pdf |
