For Clients

Documentation for Clients & New Client Forms


Be aware that you are sending protected information if you complete these forms and email them. Please make sure you send it in an encrypted format. 

New Client Intake Form


Please complete the attached New Client Intake Form and submit the form before your appointment date.

To complete, please click on the link below labeled “New Client Intake Form.” Print and fill out the form, scan it to your computer, and email the completed form to intake@summit-psychological.com.

New Client Intake Form

Additional Paperwork for New Clients:

All new clients: please review the following documents for your reference. There is no need to complete or send these documents unless specifically instructed.

Additional Paperwork for All Clients:

Clinical Services/Psychiatry Inquiry


Please provide your name, email, phone number, and a detailed message containing your question, and we will contact you as soon as possible. For faster service, please visit our locations page to contact the nearest office.

Contact Us

Please complete the forms above and request an appointment with our counselors or call our office today at 234-718-2331 to schedule an appointment.

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