Your Child Therapy Intake Form
You are about to fill out an online digital intake form.
The information you enter will be encrypted automatically as you complete the form, before being sent out to the server. The information will then be added to your file by our admission department so your therapist can have access to it prior to your session.
For convenience, your encrypted form data will be stored with your user session so you don't lose any previously entered information in case of disruption of your internet service.
Please do not hesitate to submit your comments about our new online forms.
The Blake Psychology Team