Ongoing Sessions, Couples and Family Sessions, and ADHD Assessments
For all New or Returning Clients, please complete either the Adult Intake Form if you are an adult interested in sessions or the Minor Child/Dependent Intake Form if you are a legal parent/guardian completing the form for a minor client interested in sessions.
PLEASE NOTE: We currently have a waitlist for all sessions.
Click Here: Adult Client Intake Form
Click Here: Minor Child/Dependent Client Intake Form
Please note that the information provided on this form is used to best match you with one of our therapists. Please be as accurate and detailed as possible. Completing this form will take 10-15 minutes.
After you submit your intake form, we will reach out with an estimate cost for your sessions, based on your insurance, and send you a few more forms that must be completed before you are able to be matched with a therapist and schedule an appointment.
At the time of scheduling, you will be charged a deposit of $30 to hold your first appointment. If you keep your first appointment, the deposit will be refunded or applied to out of pocket costs.
(Clients with Medicaid coverage will not be charged)
Please do not complete the intake form for an individual you are referring to Darby Creek Counseling. Follow the instructions for professional referrals and/or direct the individual to complete our intake process on their own. thanks!
We require all legal documents regarding custody, visitation, shared parenting, and any other such matters, to be on file before any sessions can occur for minor clients. Custody paperwork can be sent to custody@darbycreekcounseling.org
“Your present circumstances don’t determine where you can go; they merely determine where you start.”
-NIDO QUBEIN
