Intake Form

Below is my intake form for you to download and complete before our first session. It is long, because the information is valuable in helping me customize your treatment. But if you prefer to fill out only the first 3 pages with your signature, you can complete the rest after we have met. 

If you are looking for Coaching or Consulting rather than Therapy; give me a call, text, or email. I will send you my Coaching Information and Contract Package. I look forward to meeting you! Thank you! 


© Laurel Basbas 2014