Intake Forms

Below you will find the paperwork we will need you to complete before your appointment. Please bring this along with your ID and insurance card if applicable. If you are unable to complete the paperwork in advance we ask that you plan to arrive 15-20 minutes early to your appointment to do so.
If you will be receiving services via our telehealth option please email the completed forms to: genesisassessement@gmail.com

SOP Clients

Individual Clients

Marriage/Couples Clients – Couples will each need to complete a copy.

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