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CIP Client Forms
Complete the Necessary Paperwork to Get Started on Your Neurotherapy Treatments

Client Forms

Please contact the Center for Integrative Psychology to find out what forms you need to complete.

Client Forms When Starting Therapy

We are looking forward to meeting with you! Please see below for instructions on how to download, complete, and submit your intake forms prior to your first appointment:

Step 1: Click on the fillable PDF New Client Forms found below:

Step 2: Fill out all three forms by easily clicking on the fillable areas. Once completed, save them to your computer.

Step 3: Email your professional provider your completed intake paperwork:

Barry Jay or Stephanie Roffi

Andrew Bindewald

Step 4: Attach all three completed forms.

Step 5: Send email.

Other Client Forms

At the Center for Integrative Psychology, we use supplementary forms during our therapy programs to support client care and development. 

When we meet we will instruct you about which form to complete and how we would like you to complete them. In this list below, you will find some of the forms we may ask you to complete. 

The below forms are fillable PDFs so you can easily click on the form link, fill it out, save it, and submit it to us directly through the Client Portal. Instructions on how to submit through the Client Portal can be found in steps 1-6 in the New Client Forms section above.

Contact Us Today to Learn What Forms You Need to Complete

Preparation is the key to success and we will instruct you on which forms are needed to begin your therapy program. We look forward to meeting with you!