Intake Forms

To Our New Clients,

We are pleased that you have called for an appointment at CenterPoint. We want to help you achieve a successful outcome in our work together. To help us reach this goal, we ask that you download and read the material and complete the forms provided before your first appointment.

Download the intake forms:

Adult Client Intake Forms

Minor Client Intake Forms

Notice of Privacy Practices


New Day – Applications must be received prior to April to be considered for the current season which runs September-May.  Applications received April and beyond will be considered for the following season.

In order to participate in New Day, you must be enrolled in the program and parent(s) must have attended a brief intake interview. Please fill out the application and mail it to the address listed. New Day staff will contact you to schedule an intake interview upon receipt of your application.

New Day Application-Participant

One goal of New Day is to encourage and help parents work toward co-parenting as much as possible, while maintaining a “safe emotional environment.” Therefore, both parents are invited to come to New Day as long as they attend different adult groups. If the second parent is planning to attend, they must fill out the following form and also attend a separate intake interview.

New Day 2nd Parent Application-Participant

Volunteers are the core of our program, and New Day would not be available to families without our volunteer team.  If you are interested in joining our volunteer facilitator team, please download the application and mail it in!  We thank you in advance for your desire to help others!



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