Adult Intake Form
Please tell us a little more about your concerns so we can better understand your needs for testing. If you have difficulties with this form, please call our office at 828-231-3297
This form will take you approximately 15 minutes to complete, and is comprised mainly of checklists, allowing you to scan and complete quickly.
The information submitted in this form is guaranteed to be kept confidential and secure. Please wait for the confirmation page to appear once you submit your form.