Forms
INTAKE PROCESS
Tompkins Community Counseling’s intake is completed on line through a HIPAA compliant platform called Simple Practice. If you are interested in seeking counseling with Tompkins Community Counseling, please complete the intake referral that is found on this website. If you have any questions, please feel free to reach out to me at any time at adam.scholl@tompkinsalternativecounseling.com
Thank you,
Adam Scholl, LCSW-R
Owner
318 N Aurora St
Ithaca, NY 14850
The following release form is optional. Please complete it if you would like us to share information with a third party, such as another health facility.