Form page instructions:
Step 1: Print and fill out intake forms that apply:
- BTA ADULT INTAKE FORM
- BTA Teen Intake Form 2023
- BTA Child Intake Form (1) 2023
- Teletherapy Informed Consent
- Couples’ Intake Form
Step 2: Review confidentiality forms:
Step 3: Find your therapist below, print and fill out their forms:
Therapist Name | Consent for Treatment Form | Financial Agreement Form |
---|---|---|
Tiffany Cate, M.S. | Click to Download Form | Click to Download Form |
Tara Ettlin, M.S. | Click to Download Form | Click to Download Form |
Melinda M. Hardin, M.S.W. | Click to Download Form | Click to Download Form |
Diana P. Jacobs, Ph.D. | Click to Download Form | Click to Download Form |
Lisa Jungclas, Ph.D. | Click to Download Form | Click to Download Form |
Judith K. Lemon, M.A. | Click to Download Form | Click to Download Form |
Victoria McGuinness, M.A. | Click to Download Form | Click to Download Form |
Susan Neelley, M.A. | Click to Download Form | Click to Download Form |
Erik Papritz, M.A. | Click to Download Form | Click to Download Form |
Kathryn Webster, M.S.W. | Click to Download Form | Click to Download Form |