

Please download, print, and complete the following forms prior to our first conversation. If you have any questions, feel free to reach out.
This complete package includes all necessary background forms, including the sliding fee scale. For couples counseling, each partner must complete their own separate intake package.
Download PDFA preview of our income-based fee structure, provided here to help you review options before proceeding. (Note: This is already included in the Intake Package above.)
Download PDFHow to submit: You can bring the completed forms with you to our first session, or scan and email them to Hello@NewReGenesis.com beforehand.