John A. Becker, LMFT, CAAC
Licensed Marriage and Family Therapist
Certified Advanced Addictions Counselor

The following forms are PDF files that can be downloaded and completed before your first visit. Informed Consent and Professional Discolsure must be printed and signed in ink. Intake Information and First Assignment can be filled out electronically and emailed or printed and mailed, whichever is most convenient. If you cannot view the PDF documents, you can download the free reader here.

Informed Consent

Professional Disclosure

Intake Information and First Assignment