Forms

The following forms are required for all new clients in our office.

ACCOUNT INFORMATION (1).doc
Microsoft Word document [314.5 KB]
Adult Intake Form-New client.doc
Microsoft Word document [382.0 KB]
Child Intake.doc
Microsoft Word document [362.5 KB]
Client Agreement and Therapeutic Policie[...]
Microsoft Word document [53.0 KB]
CONSENT FOR TREATMENT OF A MINOR CHILD.d[...]
Microsoft Word document [313.0 KB]
Release of Private Health Information.do[...]
Microsoft Word document [319.5 KB]

Contact Us

Address

Successful Therapy
275 West 200 North

Suite 203
Lindon, UT  84042

 

Phone: 801 787 7735

 

Email:

successfultherapy@gmail.com

 

Or use our contact form.

Latest News

Our clinic now offers even more flexible appointment times to try and accomodate our clients busy schedules.

 

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