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If you would like to make an appointment, please call our office at 502-327-4622. If you have already scheduled an appointment, you can help expedite the intake process by completing the forms in the list below. Please download and print the forms, complete and sign them, and bring them with you along with your insurance card. Please arrive about 15 minutes prior to your first appointment.

Intake Form (Adult)
Intake Form (Child / Adolescent)
Samaritan Fund Scholarship Application
Getting Acquainted Information and Disclosure Form
Financial Agreement
Credit Card Authorization Form
HIPAA Notice

Also, if you are one of our current clients, please consider printing and submitting the following Client Satisfaction Survey:


 
The essence of optimism is that it takes no account of the present, but it is a source of inspiration, of vitality and hope where others have resigned; it enables a man to hold his head high, to claim the future for himself and not to abandon it to his enemy.
– Dietrich Bonhoeffer –
 
Make an Appointment