These are the forms that need to be completed for a new intake, regardless of whether you are seeking therapy or assessment services. Please print out and complete these forms to bring to your first appointment. Alternatively, you may fax them to (402) 413-6537, email to [email protected], or arrive 15 minutes early to your appointment to complete forms. Please note that for clients under the age of 19, all forms must be completed by the child’s legal guardian.
Child Psychology Intake Information
Adult Psychology Intake Information
Updated Release of Information 2019
Patient Registration Form Updated 2019