Adult Intake Form for Marriage Counseling, Grief Counseling, Anxiety & Depression Treatment, & More

If you are 18 years of age or older and are seeking therapy or counseling from WNY Psychotherapy Services, you need to fill out our adult intake form. This form will give our doctors a better idea about your needs and what types of treatment you might be interested in. Fill out this form honestly to ensure your treatment is right for your needs. We offer depression and anxiety treatments, marriage counseling, grief counseling, and other services to guide you in your recovery. Fill out our form below before your initial appointment.