CLIENT FORMS
For your convenience, we have made our forms available for our clients. We encourage you to fill out
these forms in advance of your first visit. This will help minimize the time you spend in the waiting room and allow you to have more time with your therapist.

If you have any questions regarding your paperwork, please call (801) 984-1717 for assistance.
You may also visit Frequently Asked Questions.
ADULT INTAKE PAPERWORK: Ages 18+
Intake Paperwork Adult.pdf Intake Paperwork Adult.pdf
Size : 410.245 Kb
Type : pdf
ADOLESCENT INTAKE PAPERWORK: Ages 12+
*Legal guardian signature required on intake forms.
Intake Paperwork Adolescent.pdf Intake Paperwork Adolescent.pdf
Size : 373.312 Kb
Type : pdf
CHILD INTAKE PAPERWORK: Ages 11 and Under
*Legal guardian signature required on intake forms.
Intake Paperwork Child.pdf Intake Paperwork Child.pdf
Size : 348.271 Kb
Type : pdf
RELEASE: If you are need to release an information regarding your treatment at Life Stone, you will need to complete this form.
Release of Information.pdf Release of Information.pdf
Size : 173.035 Kb
Type : pdf
SALT LAKE COUNTY
613 E. Ft Union Blvd #104
Midvale, UT 84047
Phone: (801) 984-1717
Fax: (801) 984-1720
UTAH COUNTY
150 S. 400 E.
American Fork, UT 84003
Phone: (801) 980-7222
Fax: (801) 980-7223
© 2018 Life Stone Group, LLC All Rights Reserved. 
Insurance Billing Dept:
(801) 296-2113

Mailing Address:
613 E. Ft Union Blvd #104
Midvale, UT 84047