New Client Form

Thank you for interest in services at Thinking Tree Psychology.  Please complete the information below so that we may better understand your concerns.  Referrals are typically answered within 2-3 business days. If you feel your child needs to be evaluated urgently, please contact Oasis Mental Health for crisis management services.  If your child is in imminent danger, please call 911 or take your child to the nearest emergency room.

Child Name *
Child Name
Parent/Adult Name *
Parent/Adult Name
Contact phone *
Contact phone
May email be used to make initial contact/schedule appointments? *
(e.g. mother, father, grandparent, legal guardian, physician, nurse, psychiatrist, etc.)
Examples: Pediatrician, Other physician, School, Therapist, Thinking Tree website, social media, former/current client. Please provide names so we may thank them!
Insurance information: *
By acknowledging this statement, I understand that all services are considered out-of-network mental health services. All fees are due at time of service. If you are planning to submit claims to insurance for reimbursement, parents are strongly encouraged to research out-of-network coverage prior to making the first appointment.