Please print and complete your provider's intake forms prior to your appointment, and bring them with you to your initial session.

• Yael Gold, Ph.D.
  Intake Forms

• Kimberly Simpson, MSW, LCSW
  Intake Forms Child
  Intake Forms Adult
  
  
• Margaret Mensch, MEd, LPC
  Intake Forms Child
  Intake Forms Adult
  
  
• Sylvia Lyew, MA, LPC
  Intake Forms Child
  Intake Forms Adult
  
  
• Jeanne Farabaugh, MAC, LPC, NCC
  Intake Form