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When it comes to filling out intake paperwork for your first appointment, we like to give you options. 

  1. Fill paperwork out in person by arriving at your scheduled appointment 15 minutes early. 

  2. Fill digital paperwork out, by calling the office to get set up for our client portal. (816) 268-8501 #2 

  3. Fill physical paperwork out ahead of time, by printing and completing the correlated form below. Click on the form you'd like to download and bring the packet with you to your appointment.

If you don’t have Adobe Reader® on your computer, click here for a free download. 

Counseling Appointment Intake: 
ADULT Counseling Intake 
CHILD counseling intake 

Medication Management Intake (Sue Ellen Breese ANP-BC): 
Med Management Intake