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Intake Forms

Forms to Bring to Your First Appointment

We ask you to bring the forms below to your first appointment.  These forms serve four purposes.

They provide information about you and give us permission to gather information from your other mental health providers. This information gives your therapist a starting place to get to know you better.

These forms lay out our policies as well as your rights and responsibilities.

These forms authorize St. Louis DBT to bill your credit or debit card and send you monthly statements for ease of payment and reimbursement to you from your insurance company

These forms assess where you are now and give us information to help guide your initial treatment.

The forms vary from program to program.  Go to the program you will participate in and complete the paperwork listed.

Adult & Young Adult Programs

Couples Program

Teen Program

Family Program

Links coming soon

Mindful Way Through Depression


Call 314.932.7415 or email us for your free consultation. smartphone-SMALL

Our experienced therapists will give you a warm welcome as you begin work toward your therapy goals. Call us today!


Adult DBT Skills Group, Wednesdays, 11:30 am – 1:00 pm.  Join now!

Adult DBT Skills Group, Mondays, 4:00 – 5:30 pm. Join now!

Third Saturday Intensive Skills Group. Third Saturday each month, 8:30 - 3:30. Join now!

Young Adult DBT Skills Group, Fridays, 3:00 - 4:30 pm. Join now!

Path to Recovery: DBT Skills for Addictions & Habits, Mondays, 6:00 - 7:30 pm.  Register now for March 2018

Teen DBT Skills Group (ages 15-19), Tuesdays, 4:00 - 5:30 pm. Register now for January 2018.

Couples DBT Skills Group, Thursdays 6:15 - 8::15 pm. Register now for March 2018!

Teen & Parent DBT Skills Group, Thursdays, 4:30-6 pm,  Join now!

Advanced DBT Skills Group. Join now for January 2018!

ACT for Anxiety and Depression. Wednesdays, 6:30-8:30 pm. Register now for fall 2018

Mindful Way Through Depression and Anxiety.  Wednesdays, 6:15 - 8:15 pm. Register now for new group starting September 19, 2018

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