FORMS

worker on a laptop

Prior to the first session, all clients must complete the following 4  step process:

 1. PRINT   –   2. READ   –   3. COMPLETE   –   4. RETAIN / RETURN:

 

Notice of Privacy

(Client Retains for their records)


Client Information Form

(Age specific)

Child   –   Adolescent  – Adult

(Client retains a copy & returns completed prior to or at 1st session)


Client Agreement & Informed Consent

(Therapist specific, click on your therapist’s photo to open and download)

(Client retains a copy & returns completed prior to or at 1st session)


Telehealth / Virtual Clients

 

All of the forms (client privacy, client information & client agreement forms)

PLUS

Telehealth Assessment Form

(Client retains a copy & returns completed prior to 1st session)

Form for all clients:

Children running in field

Forms for Children
(3-13 yrs old):

 

To be filled out by parents or legal guardians. 

Group of teens

Form for Adolescents
(15-19 yrs old):

come as you are round

Form for adults
(20+ yrs old):

Laptop and salt lamp

 

Telehealth Assessment Form:

This is an additional form to fill out ONLY if you opted for virtual sessions:

CLIENT AGREEMENT FORM SPECIFIC TO YOUR THERAPIST

Click on your therapist’s picture to download your client agreement form. 

Print and complete your form before your first appointment so you can start right away with your counseling session!