Insight Therapies, LLC

Insight Therapies, LLC

Intake Forms | Payment
Questions? Call (814) 662 - 5338

Thank you for your interest in us! We are located in Erie, PA (Eastern Time)

The bulk of our practice is online. However, we do offer in-person appointments and come to you with additional fees.

We offer:  Evidence-Based Health Coaching, (Anxiety Panic Attack, Psychosomatic and Stress) Anger Management, Physician Disruptive Behavior, Executive Coaching, Marital Mediation, Custody Divorce Coaching, & Parenting High Conflict Coaching. In addition, Dr Martha offers Civility Management Solutions; HR management support, professional training, digital media programs and Therapy Aid products   

THE FOLLOWING FORMS ARE REQUIRED FOR ALL NEW CLIENTS.
NOTICE: When filling out any form, please read/visit every item/field (required or not).
Enter NA if not applicable. We expect everything to be filled out... Thank you.

FREE Download

If you are a new client, please complete the forms below.


New Client Forms
    (Adult/Minor)


Request/Authorization for Release of Information

(This form is available upon request)

 
If you are a new client , please complete your intake questionnaires.
 


Minor Intake Forms

Download Forms to fill out (ZIP File)



  • Child Intake Form (11 Years and Older)
  • Child Personal History Information (11 Years and Older, to be filled out by Minor Child)
  • Health History Questioner
  • Stress Symptom Checklist


Adult Intake Forms

Download Forms to fill out (ZIP File)



  • Adult Intake Form
  • Health History Questioner
  • Stress Symptom Checklist



If you are a new client for Marital Mediation,  please complete these forms  

If you are a new client for Mediation, please complete following form
 
Helpful Forms When Considering Divorce
Copyright © 2011 - 2016 Insight Therapies LLC, Erie Health Education  All rights reserved.