Forms: New Clients

Flower Gift In Foundation

Interested in psychotherapy or other services at Art of Awareness?

Please contact us via phone or email with any questions and/or to begin the new client referral process.  When you contact us, we will complete the New Client Referral Form with you by phone.  This process allows us to gather enough information to match you with one of our therapists or services.  If we have difficulty connecting with you by phone, we will ask you to complete the form provided here and email, fax or mail it to us. Please see instructions for completing the form below.

  • New Client Referral Form: Click Here (See instructions below!)
  • Release of Info: Click Here (See instructions below!)

IMPORTANT: Instructions for completing the New Client Referral Form and Release of Info

  • First, download the form by clicking the link above and save it to your computer’s desktop (Files are named AOA_ReferralForm_2016.pdf and ReleaseofInfo_2015).
  • Next, open the form and fill out all the fields.
  • When you are finished, go to SAVE AS (under the File tab) and save your completed form on your computer’s desktop with a different name.
  • You may email this competed form to us at,  fax it to us at 207-799-1350 or mail it to us at the address below. Please note that we are not able to provide encryption for emails, so we cannot guarantee the complete confidentiality of any emails we receive. 
  • If you chose to email your completed form, please send it as an attachment.

How to reach us: 


Fax:       207-799-1350

Phone:  207-799-1331 x 102

Mail:      100 Waterman Drive, Suite 201, South Portland, ME 04106