Intake Forms

NEW CLIENT PAPERWORK

For
Amie Lowery-Luyties, MFT

There are 7 forms that you need to fill out, 5 of which need your signature before we can begin therapy. Forms 1-6 are located within one PDF that you need to print out. Please follow the steps below so that we can begin therapy.

Step 1: Print Out The Forms Below
Step 2: Read And Sign The Forms
Step 3: FAX them to: 888-746-6008  OR  Mail Them To:

Amie Lowery-Luyties
PO Box 15450
Long Beach, CA 90815

New Client Intake Forms >>>

Intake Forms ( For All New Clients)

Form 7 (Online Therapy Clients Only)

The sooner you mail in the signed forms, the sooner we can begin therapy!