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.
Client Information
Adult Client Information Intake Forms
Minor Client Information Intake Forms
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New Day - Applications received will be considered for the September 2012-May 2013 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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Circling MARS- Men Achieving Relational Success
New groups starting April 10th/12th! Register Now!
An 8 week directional support group for men offering tools and practices to access empathy and compassion for self and others. The group is designed to support awareness of the split between their emotional and intellectual realities.
Circling MARS Brochure & Registration Form
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In Between- A summer workshop series for women, girls, and parents of girls ages eight to eighteen!
Workshop topic include: Healthy Relationships for Pre-Teen & Teen Girls, Express Yourself for Girls and Women, Deepening Father-Daughter and Mother-Daughter Relationships, and Girls Through the Ages!
Download the brochure and registration form for dates and to learn more about what each workshop will focus on.
In Between- Brochure & Registration Form
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