Jamie F Wintz, LMHC, LLC
  Intake Forms  








Please take a few moments prior to your first appointment to complete the applicable intake forms listed below. Doing so will expedite the intake process and allow you and the therapist to begin working toward your treatment goals more quickly.

Please remember to bring all completed intake forms with you to your first appointment.

Alternatively, your therapist can send you all intake forms via email. Choosing this option will enable you to electronically complete, sign, and submit all intake forms prior to your first appointment.

Please review the "About Methods of Communication" section of the Informed Consent to understand privacy issues related to sending your personal information via email. Contact our office if you choose to submit your intake forms via email.

Intake Packet - Adult (age 18 years +)

Intake Packet - Minor



Bio | Services | Fees | Forms | Contact | Appointments | Resources