Please fill out this form prior to your first session with your therapist.

Please fill out this form if you'd like to receive yoga instruction in addition or apart from mental health services.

Please fill out this form if you wish to have any session information shared with another health provider, program, or facility.

Please fill out this form if you want to be seen, for at least two sessions, to receive a secondary referral letter for gender affirming surgery/treatment. (Note, not all gender affirming therapies need two referral letters.)