Relationship Therapy Intake Form

Thanks for taking the time to fill this out. We know life is full and this form asks for a bit of your energy up front. But we promise, it’s worth it. By sharing this information now, you’ll help us get a head start on understanding what’s happening in your relationship, so we can make the most of your first session together.

Once you submit the form, it goes directly to Relate’s Director and Practice Manager. They’ll make sure it reaches the therapist you’ve been scheduled with—so your therapist can come in already tuned in to what matters most for you both.

Think of it as laying the groundwork for deeper, faster progress. Your story matters, and this is where it begins.