Intake Form –Click here If you would like to print out the intake form, fill it out and bring it with you to your first appointment.
Client-Therapist Agreement –Click here if you would like to print out the client-therapist agreement form, fill it out and bring it with you to your first appointment.
Consent Form for Alternate Communication – Click here if you would like to print out the consent form for alternate communication, fill it out and bring it with you to your first appointment.
Recurring Payment Authorization Form – Click here if you like to set up automatic payments for counseling sessions with your therapist, fill it out and bring it in to your next appointment or submit by email.
Questions To Ask Your Insurance Company – Click here to see an outline of questions to ask your insurance company. The benefits for therapy are usually different than your typical medical coverage. Prior to attempting to make an appointment with a therapist, contact your insurance company and obtain the following information.
Current Family Assessment– If you would like, click here for a brief test that will help you to learn your family’s strengths and areas for growth. Print it, fill it out, score it and discuss your results with your therapist.
Family of Origin Assessment– Click here for a brief test that will help you to learn your family of origin’s strengths and weaknesses. Print it, fill it out, score it and discuss your results with your therapist.
Authorization to Release Medical Information – Click here if you would like to print out the consent form to allow the Family Therapy Institute of Santa Barbara to access or exchange mental health records and information obtained during the course treatment.
Fillable Forms
Click below to fill out and submit the intake forms online. After completing each form, select File > Save As > and add your name to the document name and save to your desktop. Attach the forms to an email, include the name of the therapist they are for in the subject line, and email to: info@ftisb.org.
