If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.
* Please send a copy of the front and back of your insurance card, this must be reviewed by our biller prior to your intake session.
* Please send a copy of your Michigan Drivers License or Michigan ID. Please send a copy of the front and back of your ID as it may contain updated address informaiton on back of your card.
* Please send your email address as this is how we connect with you portal.
If you feel that you would like to collaborate your session with another provider, simply fill out the following form.