Horizons Intake Forms
Adult Forms
Couple Forms
Child/Teen Form
Release of Information
Please click here to read and print out our Notice of Privacy Practices.
At Horizons, we use a packet of intake forms to gather information and to clarify procedures before we see you for the first time. You may fill out the forms at the office (please come 15 - 20 minutes early to do so) or you may print out the forms at your leisure, fill them out at home and bring them with you.
If the client (the person who will be listed as the patient on insurance forms) is an adult coming for an individual appointment, click here to download, view and print out your intake forms.
If the client is a couple coming together, the member of the couple, click here to view and print out intake forms. There are forms for each of you to fill out.
If the client (the person who will be listed at the patient on insurance forms) is under 18, click here to download, view and print out your intake forms.
Insurance companies sometimes have negotiated rates with Horizons or with individual therapists. At times, therapists make arrangements with clients for reduced fees. Your fee agreement will reflect individual agreements.
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