New Client Information

Welcome to Jewish Family Service! We sincerely appreciate your interest in our agency and wish to serve you in the most effective way possible.

Below, we have provided many of the forms you need to begin therapy. In an effort to save you time in the office, please print all Intake forms, fill them out and bring the completed forms with you to your first session.  If you choose to fill out forms in our office, please arrive at least 15 minutes before your scheduled appointment time.   

The information requested of you in the Intake paperwork is thorough. Please know that we are asking necessary information for your insurance company, United Way (for JFS to receive funding) and to assist us with understanding your current symptoms and resulting diagnosis.

New Client Intake btn_download100.jpg
Client Goals and Medical History btn_download100.jpg
Client Household Demographicsbtn_download100.jpg
Counseling Sliding Fee Scale Agreement btn_download100.jpg
Verification of Documents Receivedbtn_download100.jpg