Intake Forms

Intake paperwork is completed by client or caregiver. Upon submitting an intake form, your family will receive a response from PMT within 2 business days. Treatment is offered at our main location or area facilities & agencies.

Looking for financial aid?

If funding is a limitation, explore our Financial Aid Resources or apply for our Family & Friend Fund.

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Step 1

Submit intake form AND consent form.

Step 2

PMT reaches out to schedule the assessment.

Step 3

You complete the assessment.

Step 4

If music therapy is recommended, then we schedule individual and/or group appointments at a weekly or biweekly frequency.

Intake Form

Minors

Fill Out Form

Intake Form

Adult Self

Fill Out Form

A woman and another woman on a wheelchair

Intake Form

Adult Guardian / POA

Fill Out Form

Consent Form

All Clients

Fill Out Form

Intake Forms

Looking for financial aid?

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