Client Intake Form

Welcome to H&H Counseling, LLC. We're glad you're here. This form helps us understand how to best support you as you begin your therapy journey.

All information submitted is kept confidential and complies with HIPAA standards. Please take a few moments to fill out the sections below as completely as you feel comfortable.

If you have any questions or run into any issues, feel free to reach out at [email protected] or call (978) 547-8633.


đź“‹ Sections Included:

  • Contact Information
  • Appointment Preferences
  • Reason for Seeking Therapy
  • Insurance or Payment Info
  • Additional Notes

Thank you for taking the time to complete this form. We're looking forward to working with you.