Client Forms

Please print and complete the following forms and bring them with you to your first appointment:
NOTE: FOR YOUR SECURITY, PLEASE DO NOT EMAIL COMPLETED DOCUMENTS

Permission, Understanding and Acknowledgement
Informed Consent
Client Information
Card Authorization
Initial Assessments Part 1
Initial Assessments Part 2
Adult Intake Assessment (patients aged 18 and over)


Please read through the information in the following and save or print for your records:

Notice of Privacy Practices
What to Expect from You Licensed Professional Counselor
Limits of Confidentiality
Cancellation Policy