Forms
Intake Forms
All forms are completed electronically via a confidential client portal.
Privacy practices - Your privacy and confidentiality are important. Click here to read more about Haus of Seraphim's HIPAA compliance.
Intake Forms are available for individual and child/family therapy and are completed via a secure online portal.
Haus of Seraphim's Practice Policies are found here.
Informed Consent - Know what to expect. These forms describe more about what signing up for therapy is all about as an individual and for child/family therapy.
No Surprises Act - Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated
Appropriations Act of 2021, is designed to protect patients from surprise bills for emergency services at
out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only
for in-network cost-sharing amounts. Click here for more information.
Click here to get started with therapy.​
How long does it take to complete these forms?
We recommend completing these forms at least one week ahead of your scheduled appointment. Sometimes, completing these forms is therapeutic in and of itself, so make time to fill them out how you want to. To get started today with therapy services, click here.