You can enter your information and request a new appointment online by
visiting: https://nls.mytherabook.com/appointments/new
Or if you're a new client and do not wish to complete the information electronically, please complete the following forms and bring them to your first therapy session. Everyone, child, adolescent, or adult, needs an intake form and a limits of confidentiality form. Additionally, please complete the appropriate information form based on the age of the client (the person who will be talking to the therapist), adult, adolescent, or child.
- Client Psychotherapy Intake Form (All)
- Limits of Confidentiality/Therapy Cancellation Policy (All)
- Client Information Form (Adult)
- Client Information Form (Adolescent)
- Client Information Form (Child)
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information (NOTE: There is a section for this in the intake form. Additional forms are only needed if there are more agencies or individuals whose records may be helpful or more entities with whom you wish to authorize New Leaf Services, LLC to be able to share information):
Note: To download Adobe Acrobat Reader for free, click here.
