Forms

In prForms handeparation for your first counseling session, we ask that you complete some paperwork. We have made the necessary forms available here. Depending on your particular situation, different items are requested. The type of counseling is followed by the paperwork necessary for the first session. Additional forms are listed and your counselor will ask you to fill these out as necessary. If you have any questions, please call your counselor and they will help you.

For individual adults: complete each of the following forms:

Adult Intake

Informed Consent

Patient Notification of Privacy Rights/ HIPAA Practices (you may just read this)downloadable forms icon

HIPAA Notification Confirmation Form

For maritial clients: each person is to complete each of the following:

Adult Intake

Informed Consent

Patient Notification of Privacy Rights/ HIPAA Practices (you may just read this)

HIPAA Notification Confirmation Form

For adolescent clients: parents complete each of the following:

Adolescent Intake

Informed Consent

Patient Notification of Privacy Rights/ HIPAA Practices (you may just read this)

HIPAA Notification Confirmation Form

Additional forms: to be specified by counselor:

Collateral Consent

Release of Information

Application for reduced fee