Client Forms

Please use the following link to quickly fill out an intake on your smart phone, tablet, IPAD or computer. Please choose the following email brianstemetzki@yahoo.com for the last question to email us your intake info. Please make sure you click the submit button to send your intake. The screen should say intake successfully submitted.

• Intake Form

Intake Forms for Initial Visit

Intake Form

ABTCS Teen or Child Intake Form

Adult Intake

Protected Health Information

Financial Responsibility Form

Cancellation Policy

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information