The Intake Process

1. Click on the link below to download our intake request form.

Intake Request Form

Complete the form and send it to us by fax or email:

Fax: (603) 760-1949      Email:

Our intake coordinator will review your request and call you to discuss next steps. We will contact your insurance carrier to determine if your plan is covered and to check your benefits. Please note that we receive a large volume of intake requests and respond to them as quickly as possible.


2. Complete Forms and Schedule Intake Appointment

You will receive a welcome email with a link to register for a free client portal account. Registration is easy—simply create a username and password. You will receive a second email with a link to your intake forms, which will allow you to log in to the portal, electronically sign, and submit all of your intake forms. Please be aware that the Adolescent Health History form is lengthy (45 minutes to complete, on average) and must be completed in one sitting (you cannot save and return to finish it later). Once your paperwork is complete, we will contact you to schedule the intake appointment.


3. Attend the Intake Appointment

Please note that all intake appointments — for both our virtual and in-person programs — are done virtually via Zoom. We will first ask your child if they are willing to attend our program, because it is 100% voluntary. The child and parent/guardian will then meet individually and together with one of our clinicians, who will ask questions about the child’s symptoms and history in order to make preliminary diagnoses, assess safety, and determine if the child meets criteria for our level of care. If your child is admitted, they will start the program the following day. The appointment lasts an average of 60 – 90 minutes.