Intake Forms

Please note: You will need a password to view these forms. Call our office at 802-862-8880 (South Burlington) or 802-382-8886 (Middlebury) if you have not already obtained the password.

The following files are in PDF format. You will need Adobe Acrobat Reader or similar software to download and print these files. If you do not already own a copy of Adobe Acrobat Reader, you may download a free copy here.

Intake & Disclosure forms - download a PDF file of intake and disclosure forms. Please print these forms, fill them out, and bring them with you to your initial office visit.

View Privacy Policy - view our privacy policy online. You will be asked to sign an acknowledgment that you have read this or been offered the chance to read this before your first office visit.

Download Privacy Policy - download a PDF file of our Privacy Policy. Choose this option if you would prefer to retain a hard copy of the policy.