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Please call our main office prior to completing the intake forms to confirm your insurance plan is accepted & to ensure we have current availability for scheduling.

Complete digital paperwork prior to your appointment (preferred).

     Digital Intake Paperwork - ENGLISH     

     Digital Intake Paperwork - SPANISH     

You will receive a confirmation email once you submit your completed forms. If you don't receive this, you may need to recomplete the form. Contact our office with any issues completing the forms.

You may complete a Release of Information (ROI) if you'd like to coordinate services with Aspen Ridge Counseling.  You may take the completed form to an Aspen Ridge office, fax or e-mail it.

         Release Of Information         

We also offer an option to store a credit card on file. This can be used to automatically charge your regular owed amount after a kept appointment. If you'd like to put your card on file, please call or email our main office at 

(801) 990-4300 or

If needed, you may complete a paper copy of the intake forms in-office prior to your appointment. In order to not interfere with your appointment, we ask that you arrive at least 20 minutes early to do so.

You may also use the links below to print a copy to complete ahead of time and bring to your appointment.

        Intake Forms for Medicaid Clients      

   Intake Forms for Non-Medicaid Clients   

Please ensure you keep your contact and insurance information up to date with our office. If your insurance changes, please verify we are in-network with our office prior to continuing appointments.

If you need to make updates, you may do so by completing the following forms

   Contact Information Update Form   

            Insurance Update Form            

Paperwork Options
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