Intake Forms

Thanks for choosing North Pines Counseling.

We’re been in this location for more than twenty years. We’ve helped a lot of people! All three of us, Rob Neils, psychologist, Sandi Neils, Clinical Social Worker and Pat Lipp, individual, marriage and family counselor are older, seasoned clinicians with lots of experience.

Please feel hopeful. We’ll help – quickly and respectfully!

Please fill out the following:

Disclosure Statement

Fees and Insurance


We usually have a pot of coffee on around the corner behind the fish tank. If you’d like some, please serve yourself. And there’s tea for you tea drinkers!

The bathroom facilities are on the first door to the right as you leave the waiting room towards the offices.

Our secretary, Cyndi, is here between 8:00 AM and 4:30 PM on Monday, and between 12:30 PM and 4:30 PM the rest of the week except Friday. She will help you with appointment times and billing.

Thank you from Rob Neils, Ph.D., Sandra Neils, M.S.W. and Patrick Lipp, M.S.