Please select the appropriate form(s), print them out, fill them out and bring them to your first session. If you can’t print them, come 30 minutes early for your first session.
Thank you !
FORMS FOR:
INTAKE FORMS FOR ADULTS AND ADOLESCENTS 16 & OVER
__________________________________________________
ALL FORMS LISTED ARE REQUIRED AT THE FIRST APPOINTMENT
NOTE: For COUPLE counseling, EACH person needs to fill out their own set of forms
| Counselor | Adults | Child/Adolescent | |
|---|---|---|---|
| Adams, Dee | Dee Adams New Client Forms | n/a | |
| Bond, Melissa | Melissa Bond New Client Forms | Melissa Bond Child/Adolescent Intake Forms | |
| Easterly, Sarah | Sarah Easterly New Client Forms | n/a | |
| Gilbert, Joel | Joel Gilbert New Client Forms | Use Adult form | |
| House, Stacy | Stacy House New Client Forms | Stacy House Child Intake Forms | |
| Kadair, Sherry | Sherry Kadair New Client Forms | n/a | |
| Maranto, Nathan | Nathan Maranto New Client Forms | n/a | |
| McKowen, Erin | Erin McKowen New Client Forms | Use Adult form | |
| Overstreet, Kerri | Kerri Overstreet New Client Intake Forms | Use Adult form |
Other Forms: If you need to have your counselor share information with someone else, you’ll need to print, complete, and sign this form:
Authorization for Release/Exchange of Confidential Information Form
IMPORTANT:
Click HERE if you want to use your insurance benefits