Thank you for choosing Guilford Psychological Services. In order to provide the best fit for your therapy needs, we require that you fill out the following form. Please note that in addition to the questions you will be answering, this form also contains important information about our practice (so please read page 2 carefully).

It is important to answer the questions as openly as you can. This should not take you more than 5 minutes. Please note that this form and all of the information you enter is only seen by the clinical coordinator and the Director of GPS.