Complete the application (linked at the bottom of this page). This brief screening form is a preliminary tool for us to begin determining whether our DBT program is an appropriate treatment for you. It is not a substitute for a more thorough, in-person intake process.
Note: Clicking on the application link at the bottom of this page will take you to the HelloSign website, where you will be required to enter your email address in order to proceed with the application process. After submitting your email address, you will receive an email from HelloSign with the subject line “Click here to sign DBT Application.” Following the link in the email (“Review Document”) will allow you to begin completing your application electronically. Upon completion, the application will be securely transmitted to us.