Forms & Policies

Referral Form

After making an initial appointment with an Awake IntuMind clinician, please print out and complete the forms below and bring to your first appointment.

You can pre-fill the forms electronically and bring printed copies, or fill them out by hand after printing them out. You should also bring a photocopy of the front and back of your insurance card, if you are using insurance.

Please remember that completing the paperwork prior to your appointment will allow you more time in your first appointment to talk with your clinician (Therapist).

You can download our Referral Form below.