FORMS

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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:

NOTICE OF PRIVACY
FORM
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Forms for Children
(3-13 yrs old):

INFORMATION
FORM

 

To be filled out by parents or legal guardians. 

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Form for Adolescents
(15-19 yrs old):

INFORMATION
FORM
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Form for adults
(20+ yrs old):

INFORMATION
FORM
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Telehealth Assessment Form:

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

TELEMENTAL HEALTH
ASSESSMENT FORM

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!

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Sams form
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Christies form
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