Individual Counseling (18+)

The following forms are required to be completed prior to the beginning of services. You may bring them to your first appointment or email them to slkriess@neshemaservices.com ahead of time

Adult Intake

General Disclosure

Insurance Verification

Credit Card Authorization


Individual Counseling (13-17)

The following forms are required to be completed prior to the beginning of services. You may bring them to your first appointment or email them to slkriess@neshemaservices.com ahead of time

Adolescent Intake

Parental Concerns Form

Adolescent Disclosure

General Disclosure

Insurance Verification

Credit Card Authorization


Couples Counseling (18+)

The following forms are required to be completed prior to the beginning of services. You may bring them to your first appointment or email them to slkriess@neshemaservices.com ahead of time

Couples Intake

General Disclosure

Insurance Verification

Credit Card Authorization