Intake Forms

To prepare for the consultation, we will ask you to print out a packet of questionnaires, complete them, and bring them to the session. The therapist will spend the first several minutes of the consultation session reviewing the materials. Your time spent completing these materials—and the therapist’s time reviewing them—allow us to use the session time more productively.

The consultation forms we use most frequently are posted below. Your therapist may ask you to complete just some or all of these forms prior to your consultation appointment. She may also ask you to complete additional forms that are not posted here.

You will need a password to access these intake forms. Please ask your therapist if you do not have the password.

Intake forms for Jacqueline Persons, Ph.D.

Intake forms for Polina Eidelman, Ph.D.

Intake forms for Janie Hong, Ph.D.