Forms

Thank you for contacting us for your counseling and coaching needs! To make your first appointment go smoothly and to save some time, it may be beneficial for you to complete all of the necessary forms ahead of time. Simply click on the form you need, print it out, complete it and bring it with you to your appointment.

Counseling Forms

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HIPAA Consent Form

This form needs to be completed by everyone who is receiving services from our counseling office.

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Child Intake Form

This form should be completed by the parent or guardian of the child receiving counseling.

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Self Assessment Form

This form should be completed by children over age 10 or adults receiving counseling.

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Adult Intake Form

This form should be completed by the adult receiving counseling.

Coaching Forms

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New Client Forms

This form should be completed by the person receiving coaching.

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