Below is the link to the 'Intake Packet' forms you will need to complete for your first visit. Please print AND complete all applicable forms and bring them with you to the first visit.
PLEASE READ:
Clients cannot be seen until all intake paperwork is completed and signed. Please complete online through the therapy portal or bring it with you to the first session. Paperwork will take about 30 minutes to complete on-site.
Before a minor child can be seen, copies of the complete divorce documents are required. A child below the age of 18 is considered a minor. Minor children cannot be seen without these documents.
Insurance benefits must be checked in advance of your visit.
Texas Clients complete all intake paperwork online through the Therapy Notes Client Portal, print it off from the Forms link at the familyandyouthinstitute.com website, and email documents to familyandyouth1@gmail.com before the visit, or bring a copy for our file with you to the first visit.
Georgia Clients, complete all intake paperwork online through the Therapy Notes Client Portal, print it off from the Forms link at the familyandyouthinstitute.com website and email documents to familyandyouth1@gmail.com before the visit,or bring a copy for our file with you to the first visit.
A biological parent or Guardian with legal documents stating he/she has custody of the minor client and the right to seek mental health treatment must be present at the first visit. The biological parent or Legal Guardian will need to sign a Release of Information for any non-biological parent or person without legal custody of a child to be in session with the child or for such person to receive any information regarding therapy sessions.
Summary:
Texas Clients: See below items to be uploaded or emailed to familyandyouth1@gmail.com prior to your first session or to be brought with you to your first visit. Include the following documents:
Georgia Clients: See below items to be uploaded or emailed to mflc.d.garcia@gmail.com prior to your first session or to be brought with you to your first visit. Include the following documents:
Credit Card
Completed Intake Paperwork
Biological Parent or Legal Guardian must accompany the child to the first visit.
Release of Information form for any other person who will be receiving information regarding the child.
Insurance Card
Drivers' License
A Complete copy of divorce documents or other legal documents granting rights to seek mental health services (Applies to minor children under age 18).
(Only necessary for video-based teletherapy services.) Forms also available through FYI Client Portal and can be completed online and signed through the Portal.
(Only necessary for video-based teletherapy service.) Forms also available through FYI Client Portal and can be completed online and signed through the Portal
