Welcome to Elliant!

Client Forms

Thank you for being here. We're excited to support your goals!

This page is for new clients who have already had a consult with their therapist and are ready for the next step. Haven’t had a consult?
Contact us to set up a free confidential consult.

To complete the on-boarding process, please complete our four (4) digital intake forms. Please note that we are legally required to have these forms on file before you can receive services.

Directions:

  1. Choose the relevant welcome packet and click the link access the form at hellosign.com. You will be asked to enter an email address where the form will be sent with instructions to complete it.

    Welcome Packet for Individuals

    Welcome Packet & Consent for Minors

    Welcome Packet for Couples

  2. Using the same process, fill out your payment information. Your card information will not be stored by ECS. All payments are processed securely through Square.

    Credit Card Payment Details

  3. Next up, fill out the authorization form, which allows ECS to submit future billing on your card through Square so you only have to submit your payment info once.

    Credit Card Authorization Form

  4. OK, just one more! Fill out the Disclosure Form for your individual provider:

    Alice R. Maksim

    Andrea Lahana

    Andrew Bryson

    Carson Meredith

    Kathy Johnson

    Linnaya Widhalm

    Mark Carlson

  5. That’s it! We look forward to seeing you soon. Welcome to Elliant!