Catalpa Intake Forms

We look forward to partnering with your family to support your child’s mental health needs.

To schedule an initial appointment, please review and complete our documents below. 

If your child is 14 and older, they will need to sign the paperwork with you. The paperwork can only be signed by a biological or adoptive parent. If the child is being cared for by anyone by a biological or adoptive parent, please call us. We know that step-parents, grandparents, foster parents and other family members play an important role in a child’s life, however, these individuals are not able to legally consent to mental health services in the state of Wisconsin.

1 Review:

2 Complete:

3 Sign: (below)

*Clients 18 or older should sign without their parent/legal guardian at this link.

4 Call us!

24 hours after submitting the paperwork, call us at 920-750-7000 to schedule an initial evaluation. Our call center hours are 8:00 to 4:30, Monday – Friday.