Intake and Consent Form
To ensure we provide the best possible care for your child, we kindly ask that you complete and submit an intake form prior to your first play therapy session. This form helps us gather essential background information about your child’s development, family structure, and any specific concerns you may have. By providing these details, we can tailor the therapy process to meet your child’s unique needs and create a safe and supportive environment for emotional and behavioral exploration. Please download the form, fill it out, and submit it to us via email before your scheduled appointment.
Download and Submit Your Form
Download the form: Click the link below to download the intake form as a PDF.
Complete the form: Once downloaded, fill out the form using a PDF reader like Adobe Acrobat or any other PDF editor.
Submit the form: When you’re finished, email the completed form to our email address.
Download Link for the PDF: