Client Forms

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 (See instructions below!)
Release of Information Form (See instructions below!)

IMPORTANT: Instructions for completing/submitting the
New Client Referral Form & Release of Information Form.

  1. First, download the form by clicking the link above and save it to your computer’s desktop. 
  2. Next, open the form on your computer and fill out all the fields.
  3. 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.
  4. If you chose to email your completed form, please send it as an attachment to, fax it to 207-799-1350, or mail it to 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.

How to reach us: 

Fax:       207-799-1350
Phone:  207-805-0181
Mail:      100 Waterman Drive, Suite 201, South Portland, ME 04106