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Child Mental Health Intake Paperwork

Please click on each box below, save to your computer, complete, save again and attach to email

tip: check your saved document after completing it to ensure the information saved

or email clientintake@fswaukesha.org

Adult Mental Health Intake Paperwork

Please click on each box below, save to your computer, complete, save again and attach to email

tip: check your saved document after completing it to ensure the information saved

or email clientintake@fswaukesha.org

Center for Prevention of Family Violence Intake Paperwork

Please click on each box below, save to your computer, complete, save again and attach to email

tip: check your saved document after completing it to ensure the information saved

or email clientintake@fswaukesha.org

D.O.C. Referred for New Thresholds

Please click on each box below, save to your computer, complete, save again and attach to email

tip: check your saved document after completing it to ensure the information saved

or email clientintake@fswaukesha.org

Couples Therapy Intake Paperwork

Please click on each box below, save to your computer, complete, save again and attach to email

tip: check your saved document after completing it to ensure the information saved

or email clientintake@fswaukesha.org

Read only documents

If you would like your child's therapist to communicate with a 3rd party, like a school staff or a pediatrician, please fill out the release of information form. It is optional.

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