INTAKE FORM
This Intake Form is provided as a convenience for our online customers. Please call us at (888) 575-7773 for instructions on how to complete the form before you send it back to us.
The Intake Form is in Adobe Acrobat .PDF format. If you have an Acrobat or compatible reader installed on your computer, the form will display and can be printed from there. Patience please, it can take a minute to load the file.
NOTE: This is not an online form. It still must be printed, filled-in, signed, dated, and returned to us before the evaluation will begin. Although you can download and fill in the Intake Form yourself, for best service we recommend that you call us toll-free at (888) 575-7773 before you fax the form or send in your hard drive.
Call toll-free (888) 575-7773
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