New Client Information

If you are a new client and have already made an appointment for counseling, psychotherapy, or EMDR, please download, print and fill out the forms as indicated. The forms you will out online are sent automatically to Dr. Maxwell. The forms you download and print are for your records.

Intake Documentation for Adult Clients in Individual Treatment (ages 18+)
1. Individual Informed Consent –> fill out this form online
2. Individual Personal Information –> fill out this form online
Privacy Notice –> download and print

Intake Documentation for Couples Counseling (a copy of each document is needed from each individual)
1. Couple Informed Consent –> fill out this form online
2. Couple Personal Information –> fill out this form online
3. Brief Relationship History --> fill out this form online
Privacy Notice –> download and print

Intake Documentation for Premarital Counseling (a copy of each document is needed from each individual)
1. Premarital Informed Consent –> fill out this form online
2. Premarital Couple Personal Information –> fill out this form online 
Privacy Notice –> download and print