We encourage all new clients to sign on the online portal and complete as much information into the system prior to your appointment. You may also complete the forms and bring them with you to your first scheduled therapy session. Colleagues or agencies looking to refer your clients, please download the appropriate referral form and send it to our monitored secure email at intake@tjocelyne.org or via fax at 888-506-6021.
REFERRAL FORM-Outpatient Child, Adolescent, Individual, Couple and Family Therapy
CBHI Referral Form for TM and IHT Services
Release of Information 2016.pdf
Children Packet
Please print prior to your child’s session if possible
ADOLESCENTS PACKET
13+ Packet must be signed by Guardian.
Intake Outpatient Forms /Couples Intake Packet
Each partner must complete one
Couple Consent Form
Please Print, Read and Sign