All new patients need to download and complete the Intake Packet Below: Please email to firstname.lastname@example.org
*Please note that all intake packets must be complete in order to be processed. If there are sections you are unsure of please call for assistance. Missing information will delay the process.
Please call Travis to check your benefits prior to scheduling your first counseling appointment:
We bill all major medical insurance on your behalf. Here are a few that we accept. Please remember that accept is not the same as contracted
Blue Cross (Not a provider for Covered California Anthem Blue Cross or most EPO plans)
Beacon Health Stratigies (Partnership Health Plan)
MHN/ Health Net
Couples Intake Forms
Couples must have this form in addition to the Adult Intake Form.