877-528-6228

Client Forms

Click on the links below to download the forms that apply to you. Please return completed forms prior to your first session.

New Client Intake Form :  Adult Individual clients

New Teen Client Intake Form: All minors under the age of 18

Notice of Privacy Practices:  New clients please print and sign the last page/signature page

Release of Information Form:  Complete only if you would like me to correspond with other health providers, family members, or significant others, or if someone other than yourself has agreed to make the payments for the services provided.

Ready to Begin?

The decision to continue exploring your addiction recovery alongside a therapist is a big one, and if you’re ready to make that decision, Marin Family Recovery is here to support and celebrate this choice. If you would like to learn more about recovery resources and therapy services available from Marin Family Recovery, please reach out.