Insight Therapies, LLC

Insight Therapies, LLC

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

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 Questionnaire
  • Stress Symptom Checklist


Adult Intake Forms

Download Forms to fill out (ZIP File)



  • Adult Intake Form
  • Health History Questionnaire
  • 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
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