Intake Forms

Download and fill out these intake forms below before service begins.

This notice describes how health information may be used and disclosed, and how you can get access to this information. Please review it carefully.

Please download, review, and sign Adaptive Life Therapy's Practice Policies Consent Document.

Please download, review, and sign Adaptive Life Therapy's Release of Information Consent Document.

Please download, review, and sign Adaptive Life Therapy's Adult Intake form.

Please download, review, and sign Adaptive Life Therapy's Child Intake form.

Please download, review, and sign Adaptive Life Therapy's Consent for Telehealth Consultation form.

We ask that you read and sign this form to acknowledge and agree to accept financial responsibility for services rendered by Provider to Client.

Please download, review, and sign Adaptive Life Therapy's Consent for Use of Artificial Intelligence (AI) Tools in Therapy
Services form.

Please download, review, and sign Adaptive Life Therapy's Media Release form.

Please download, review, and sign Adaptive Life Therapy'sConsent to Record Audio form.