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Intake Form

A few quick
questions.

This takes about 3 minutes and helps June prepare for your first session. It is intentionally brief: detailed clinical history is for the session itself.

Scheduling-focused intake. Keep your answers brief and relevant to scheduling, not clinical history. Health details, medications, and treatment notes belong in your first session, where they can be discussed with confidentiality protections in place.
About you
What we'll focus on

Pick any that resonate. This helps June prepare. Not clinical, just direction.

Working with a therapist
Have you worked with a therapist before?
Comfortable with video telehealth?
Help June prepare