Welcome to Grace to Grace Behavioral Health

We’re so glad you’re here. This intake form helps us collect the information needed to connect you with the right therapist and begin your care. It should only take about 5–10 minutes to complete.

If the individual seeking services is under the age of 18, this form must be completed by a parent or legal guardian.

Before we proceed, may we confirm if you’ll be using insurance for your sessions?

Yes
No
*All information is transmitted and stored securely and privately using Squarespace, conforming to HIPAA standards.