* PLEASE READ CAREFULLY AND COMPLETELY *

• Thank you for your interest in our counseling services. Please note that filling out the new client forms on our website does not establish a client-counselor relationship. Completion of a new client intake form is a preliminary step in the onboarding process. Until this process is fully completed, we are unable to provide counseling services.

• As a counseling clinic, we are mandated reporters of suspected abuse or neglect of children, elders, or vulnerable adults. If you disclose such information on this form, we may be required by law to report it to the appropriate authorities for the protection of those involved. We take confidentiality very seriously, but in cases where we are legally obligated to report, we must prioritize the safety and well-being of vulnerable populations. If you have any questions or concerns about this policy, please don't hesitate to reach out to us prior to completing a form.

• Individuals shall be considered for entry without regard to race, ethnicity, gender, gender identity, gender expression, sexual orientation, religion, creed, national origin, age (except when program eligibility is restricted to children, adults, or older adults), familial status, marital status, source of income, and disability.

• We are not currently accepting clients for couples counseling. We apologize for any inconvenience this may cause.

• *please provide up to date and accurate insurance information to help ensure our billing team can verify coverage and complete the billing profile.*