Forms

New Client Intake Forms

If you have scheduled an appointment you may download new client forms below.

• New Client Information
• New Client Intake (please fill out a separate form for each person who will be coming)
• New Client Therapy Agreement (please fill out a separate form for each person who will be coming)
• Teletherapy Consent Form (please fill out a separate form for each person who will be coming)

Exchange of Information Form

If you are currently seeing another therapist, a psychiatrist, or receiving medication from a doctor, please fill out one of our exchange of information forms with that clinic or person’s information.

• Permission to Exchange/Release Information Form

Graduate Intern Form

Please download this additional form if you are seeing one of the graduate student interns: Intern Therapy Agreement

Guest Agreement Form

Please fill out if you are coming in as a guest of a current Rekindle client but are not seeking treatment yourself: Guest Agreement Form.