Intake Forms

For your first appointment, please complete the Intake Packet.

If you would like for Michael to speak with collateral resources, such as Psychiatrists, Schools, Families or Insurance Companies, please fill out the Protected Health Information(PHI) Exchange of Information form, otherwise, it is not required. 

These forms may not be used for any purpose other than for clients of Michael Uram, MA, LMFT, LPCC without prior authorization.