This is the intake paperwork for the Anger Management Program. Once this is completed, the facilitator will contact you to set up your intake meeting on a Zoom call. If you leave the page before you click submit, you will lose your answers. Please complete a form before leaving. You can complete a step, leave and come back to continue on with the remaining steps. Please note, all 4 steps must be filled out to initate an intake.

You also must pay your $25 intake fee prior to the Zoom call with the facilitator. This can be done several ways: You can pay here in your member account through PayPal, you can pay through Venmo (@Crisis-Center) on your phone app, or you can pay cash at the Crisis Center (you must make arrangements with the facilitator to pay in person). If you have any questions about the paperwork, please send a message to your facilitator from your member account. Thank you!