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Adolescent Child Therapy Intake Forms

Adolescent/ Child Therapy Intake Forms

To submit application please:

  1. Complete Child/ Family Information and History Form here with DocuSign.
      • Once submitted a digital copy will be sent to your email for your reference.
      • You will then be called to set up an intake interview to proceed with counseling. 


Or: Download PDF application (button below), print, sign, scan and email completed application to

Additional option: Call our office to receive an application by mail and once completed mail back to TMCC. 


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