Initial Visit Forms - Adult, Couples, or Family
Please print ALL PDF documents, fill out to the best of your ability and sign the forms.
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PLEASE DO NOT SIGN THE FORMS IF YOUR SESSIONS ARE BY VIDEO CONFERENCING. We must witness you signing the forms over video.
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If you are coming in for Couples or Family counseling, please Fill out two sets of forms and all parties sign where appropriate.
Adult, Couples and Family Intake Form
Counseling Agreement
Technology-assisted Services Informed Consent Addendum
Hipaa Act Information
Adult Checklist
Release Information
Credit Card Authorization
Initial Visit Forms - Child/Adolescent
Please print ALL PDF documents in the file, fill out to the best of your ability and sign each form where appropriate.
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If you have multiple children scheduled for counseling sessions, please fill out a separate packet for each child.
Child Adolescent Intake
Counseling Agreement
Technology-assisted Services Informed Consent Addendum
Hipaa Act Information
Child/Adolescent Checklist
Release Information
Credit Card Authorization