Client Forms

 

Click on the link(s) below to access our forms which can be filled out in advance.  Please print blank forms and THEN complete.  Also, if you are using insurance which a staff member accepts please go to our insurance verification page and complete the form online or fax in the download version.

                                      

                                       Individual, Family, and Marriage Counseling            

                                       First Visit Paperwork

 

 

Children and Adolescents under age 18 (if parents’ are divorced).  Parent presenting child for counseling is required to bring a copy of the divorce decree proving they have medical/psychological rights to consent to treatment unless both parents appear at intake with their child.

 

Additional Forms

                                      

                                       Confidential Exchange                         

 

 

Magellan EAP Forms (Value Options EAP, Cigna EAP and other EAP clients need not complete these)

 

                                       Client Info, Statement

 

Speaking Form

 

 

 

Child Group Registration Form

                         

 

                                      

Adult Group Registration Form