Forms for Counseling Clients

Here are the forms for new clients

Please print out forms 1 and 2 and bring to the first appointment.

 

Forms 3 and 4 are just for your own information.

 

Forms 5 and 6 are only if you want to use them.

AttachmentSize
1. Confidential Intake Information Form.pdf40.28 KB
2. Consent for Professional Services 3.06.pdf27.69 KB
3. Privacy Practices.pdf115.74 KB
4. Professional Disclosure Statement.pdf56.03 KB
5. Authorization to Release Information.pdf19.98 KB
6. Insurance Agreement.pdf23.16 KB