Client Forms

Use the following forms to submit the necessary information as a part of your new client intake process. Feel free to reach out if you have any questions or concerns as you complete your intake forms.

Complete this form to provide basic intake information as a new client of On Purpose

Understand our basic practices for providing treatment services.

Know and understand your rights as a client of On Purpose Mind/Body

Your privacy is our highest priority. Understand that practices and steps that we have in place to protect your right to privacy.

Understand our basic practices and policies for taking payment for services.

Understand the limits and logistics of using technology to provide therapy services.