New Client Forms

Instructions (before your first session):

  1. Please print and complete the Client Intake Form and the Adult or Adolescent Questionnaire (under age 18) below, as applicable.
  2. Please remember to BRING ALL COMPLETED PAPERWORK WITH ORIGINAL SIGNATURES TO YOUR FIRST SESSION. PLEASE DO NOT EMAIL DOCUMENTS. If you cannot bring completed documents to your appointment, please advise me at least one hour before your appointment and I will leave hard copies in the waiting room for you to complete upon your arrival at my office. Please arrive 20-25 minutes early in order to complete the required paperwork.

NOTE TO COUPLES: Each of you must complete both the Client Intake Form and Adult Questionnaire.

Client Intake Form

Please complete this form and bring it to your first session.

This version is in PDF and allows you to print it out and fill it in by hand.

Adult Questionnaire

Questionnaire for new adult clients. Please also complete this form, if applicable, and bring it to your first session. This version is in PDF and allows you to print it out and fill it in by hand.

Adolescent Questionnaire

Questionnaire for parents of new teen clients. Please complete this form, if applicable, and bring it to your first session. 

This version is in PDF and allows you to print it out and fill it in by hand.

​© 2019 by P. Troy Gremillion