Client Forms

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:

• New Client Agreement
• Release of Information Form
• Child/Teen Intake Form OR Adult Intake Form (choose the applicable one)
• CIP Credit Card Authorization

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:

Step 4: Attach all three completed forms.

Step 5: Send email.

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.

• 123 Magic Informational Document
• Alzheimer's Disease Risk Assessment Questionnaire
• Amen Clinic ADD Brain Type Questionnaire
• Amen Clinic Anxiety & Depression Questionnaire
• CNS Assessment
• Change Your Brain, Change Your Body Questionnaire
• Hormones for Men Questionnaire
• Hormones for Women Questionnaire
• Memory Screening Questionnaire
• Sensitivity Questionnaire