Required intake forms.
For teletherapy sessions, please download and fill out the following forms.
Adult Diagnostic Questionnaire
Diagnostic questionnaire to be filled out by a Parent for a child age 6 to 17
Diagnostic questionnaire Age 6 to 17
Diagnostic questionnaire to be filled out by a minor ages 11 to 17
Dianostic questionnaire to be filled out by a minor ages 11 to 17
Options for getting forms to me:
1. Scan and email to: firstname.lastname@example.org
2. Photograph and text to 508-963-0805
2. Mail: Will Davidson, LMHC 68 Pleasant St, Ludlow, MA 01056
3. Fax: 413-610-0688 (add a 1 if faxing from a landline).