The Emmaus Institute
Healing Resources of Faith and Contemporary Psychology
Click the link below to view and to download the 'Patient Forms' that will be needed for intake purposes.
Click for 'Intake Patient Forms' / PDFs
To fill out the Patient Forms electronically, please use the links below.
These forms are encrypted to insure your confidentiality.
1. Welcome
4. Information for Patient Billing
6. Summary Notice of Privacy Practice