online form completion

Adult [18+] New Client Registration

If downloading the PDF form to your computer, tablet, or phone is vexing – try this online format for sending us your new client registration information.

Please note:

At the bottom of each section, you’ll find a Next button – please tap or click it to take you to the next section.

You’ll find a Submit button at the bottom of the final screen. After tapping/clicking that button, it will take a few seconds for your responses to be uploaded to ACP. Thanks!

Step 1 of 8
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