Registration (Intake and Insurance) Forms

Click on the following links to download or print the appropriate forms. Depending on your PDF viewer, there will be a printer icon, or a diskette/download icon that can be used to print and/or download. You may need to hover your pointer over the bottom area to show the icons. The icons may also be at the top.


Please fill out the Cynthia White Meyer, LICSW Adult Intake Form and bring to your first appointment.

Adult Intake Form


Please fill out the Cynthia White Meyer, LICSW Child Intake Form and bring to your first appointment.

Child/Teen Intake Form