Behavioral Health

New Client Information

Behavioral Health Services | New Client Intake Form

New Client Information

Would you like to seek services with the CYFS Behavioral Health Services program?

STEP ONe

Online Intake Form

Your first step is to complete your initial intake by calling the office closest to you, or completing this online intake form.

An intake counselor will review your intake form, help to determine the degree of urgency for your situation, and decide whether the agency’s counseling services can help.

If it is determined that some other service will be more helpful, the intake counselor will attempt to provide you with referral information for that service.

If counseling services can be helpful, we will do our best to schedule an appointment at a time that is convenient to you as quickly as possible so that we can thoroughly explore your concerns. With your permission, we may ask to involve other family members or others close to you to support your treatment goals.

Each case is assessed on an individual basis. Sometimes individual therapy is the best approach. But therapy involving relationship networks, such as families or couples, often results in better outcomes.

STEP Two

Informed Consent and Client Rights Form

Once your intake form is complete you will need to complete the Informed Consent and Client Rights Form. 

Step Three (Optional)

Sliding Fee Form

If you need to apply for our sliding fee program, please complete our sliding fee form. The recommended sliding fee can be found in the table on the form; however, if this fee is too difficult, you can discuss this with the counselor who will reach out to you and discuss your options. We do not refuse services to anyone due to inability to pay or financial hardship.

Final Step

New Client Paperwork

Once your initial intake is complete and your appointment is scheduled, you will need to complete the paperwork linked below. Completing this paperwork before your first session is encouraged as it will reduce time spent on paperwork at your first session. However, if you are unable to do so, we will have paper copies available for you when you arrive.

Download New Client Paperwork

CYFS Counseling Program
Success Stories

The Story of Cheryl
Learn how a 15-year old girl who had been cutting found healthier ways of expressing her feelings, gained self-confidence and improved her academic performance through therapy.
Read Now
A Marital Recommitment
Learn how therapy helped a couple reconnect and strengthen their marriage after becoming empty nesters.
Read Now

Submitted!

Thank you for your interest in CYFS. You have been added to our newsletter contact list.