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 Mon-Fri 8am-5pm. If you have any questions about the paperwork, please send a message to your facilitator from your member account. Thank you!