Welcome to Mindful cognition. Please read the following information carefully so you have a clear understanding of our policies concerning communication, fees, insurance, confidentiality, etc.

This acknowledges that we have provided you the opportunity to review our Practice Policies and Procedures as is required by federal law.

Please take your time to review and fully understand this document. Please sign and date at the end to indicate that you have understood and agree.

Thank you for your cooperation.

A mental health intake form is used by mental health professionals to collect contact info, medical history, and supporting documents while signing up new patients for their practice.