New Client Forms
Please fill out these forms AFTER you have set up an appointment with one of our therapists and have a confirmation from our scheduling administrator. 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
The Counseling Agreement defines roles and responsibilities in the therapeutic process.
CLICK HERE: https://form.jotform.com/200978826110051
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