New Clients

For your convenience, we have provided downloadable intake forms here for new clients.

Save yourself time and money by NOT filling out the forms in the therapist’s office. After making your first appointment fill out the forms and bring them with you when you come in:

Locate both the client intake form and the Informed Consent/policies form.

  1. Download the two forms (intake form + Informed Consent) and print out.
  2.  It is ESSENTIAL that you read, fill out where necessary, and sign the INFORMED CONSENT, as counseling cannot begin without your signature on this form!!
  3. Fill the forms out, and bring them to your session.

(It’s easy, and enables us to spend the entire first session discussing your issues – NOT filling out forms! However, if your printer isn’t working or you have difficulty downloading we can always have you fill them out in office – just let us know in advance and come a few minutes early!)

Client Intake Form

Informed Consent Form


Need to make an Appointment? Use our Online Appointment Scheduler!

Driving Directions:

Address is 415 N. McKinley, Suite 950. McKinley is the street that borders the west end of Park Plaza Mall in Little Rock. From I-630 … Take University exit, turn left (north) on to University. Pass Markham, Park Plaza Mall, and turn left on Father Tribou Street. Pass Catholic High on your right … see your destination on your left, a 12-story dark brick building. Turn left on McKinley, turn immediately left into the parking lot. Come on up to suite 950!

Note Concerning Printable Forms:
You will need Adobe Reader in order to view/print the forms from your computer. You may use the button to download the latest version for free by clicking on the Adobe icon below.