Client Forms

Client Forms

New Client Forms

For your convenience, our forms for new clients are below. Please complete these forms and before your first appointment.

New Client Information

Help us learn a little more about you, your history, and your goals for therapy.

CLICK HERE: https://form.jotform.com/200978283554060

Counseling Agreement

The Counseling Agreement defines roles and responsibilities in the therapeutic process.

CLICK HERE: https://form.jotform.com/200978826110051

HIPPA

The Health Insurance Portability and Accountability Act (HIPAA) provides data privacy and security provisions that safeguard sensitive information.

CLICK HERE: https://form.jotform.com/200978138007052

General Company Consent and Release Form

The General Company Consent and Release Form  provides your permission, ensures you understand requirements and risk, and acknowledges you are participating voluntarily.

CLICK HERE: https://form.jotform.com/200978917489071

Authorization Form to Disclose and Release Information

Release of information form for other professionals involved in treatment to be able to speak with members of our team.

CLICK HERE: https://form.jotform.com/200979028921056