Consumer Questionnaires

Thank you for considering us for your care, or the care of a loved one.

Please select the appropriate form for the person who is applying for services. If you are the guardian or parent of a child seeking services, please select the "childrens" form. If you are viewing this page on a mobile device, please visit our website on a desktop to access page documents.

Seleccione el formulario apropiado para la persona que solicita servicios. Si usted es el tutor o padre de un niño que busca servicios, seleccione el formulario "niños". Si está viendo esta página en un dispositivo móvil, visite nuestro sitio web en una computadora de escritorio para acceder a los documentos de la página.

Intake Interest Form

Please complete this form if you are interested in La Familia del Paso's mental and intellectual health services.

Referral Form

For referring partner agencies only. Please complete this form if you are referring an individual to La Familia del Paso for mental and intellectual health services.

Document

Adults (English)

Adult questionnaire form needed prior to intake appointment.

Children (English)

Child questionnaire form needed prior to appointment.

Adultos (Español)

Proximamente

Niños (Español)