New Clients | A New Dawn PA

Is the client 18 years or older?

Yes

No

If the client is under 18, how is legal custody ordered?

Shared Legal Custody

Sole Legal Custody

Not Applicable (No Custody Order)

Do you have any ongoing contact with:

Children and Youth

Juvenile Probation

Adult Probation

Is there a custody case open presently?

Yes

No

Any history of substance abuse treatment?

Yes

No

Multiple

Any history of mental health hospitalizations?

Yes

No

Any history of outpatient counseling?

Yes

No

Multiple

Have you been court ordered to attend services?

Yes

No

Are you currently on any psychiatric medication?

Yes

No

Any other insurance?

Yes

No

What service are you looking for?

A New Dawn Psychotherapy Associates