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 !
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
|Adams, Dee||Dee Adams New Client Forms|
|Alleman, Julie||Julie Alleman New Client Forms|
|Gilbert, Joel||Joel Gilbert New Client Forms|
|Jacoby, Kyndal||Kyndal Jacoby New Client Forms|
|Kadair, Sherry||Sherry Kadair New Client Forms|
|McIlwain, Logan||Logan McIlwain New Client Forms|
|McKowen, Erin||Erin McKowen New Client Forms|
|Sneed, Ken||Ken Sneed New Client Forms|
Other Forms: If you need to have your counselor share information with someone else, you’ll need to print, complete, and sign this form:
Click HERE if you want to use your insurance benefits