Adolescent, Family and Individual Theraphy

Melanie DenBoer, MA, LMFT, LLC

If you prefer to make a payment using a credit card, and are unable to make it into the office, please contact 

Melanie or log in here: https://melanied.mytherabook.com/home/login

If you prefer to complete paper forms, please complete those below. They will than be entered into your electronic health record.

I ask that each of these forms be in filled out prior to the initial appointment.

This is for your records, there is no need 

to bring it to your session.