Intake Forms

If you're a new client, please complete the following forms and bring them to your first counseling session.
Couples - Both partners must each complete an intake packet as well as the attachment assessment.

Please read through the forms below. You do not need to necessarily print them out, they are for your information and consent. Acknowledgement that you have read the privacy practices is included in the Initial Intake Forms. A hard copy is also available in the waiting room, should you choose to read through them prior to your first appointment.

Heather Tustison

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of information:

Note: To download Adobe Acrobat Reader for free, click here.

Schedule Appointment

Make a change today! Click here to request an appointment.


Helpful Forms

Click here to view and print forms for your appointment.