Ph: 225-387-2287      Fax: 225-383-2722

New Client Intake Forms & Authorization for Release/Exchange of Confidential Information

When your first session was scheduled, you should have automatically received an email with intake forms attached.  If not, please select the appropriate form(s) below for your counselor, 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 to fill them out.

TELETHERAPY:  If you are doing your first session via teletherapy – you must fill out the forms and get them to your counselor via faxing (225) 383-2722, dropping them by the office ahead of time, scanning & emailing (to:  BRCCC@brchristiancounseling.com), or mailing them with adequate postage time to:  Your Counselor, BRCCC, 763 North Blvd, Baton Rouge, LA  70802.  Thank you !

INTAKE FORMS REQUIRED FOR YOUR FIRST SESSION

NOTE:  For COUPLE counseling, EACH person needs to fill out their own set of forms

 

CounselorAdultsChild/Adolescent
Adams, DeeDee Adams New Client Formsn/a
Bond, MelissaMelissa Bond New Client Formsn/a
Gilbert, JoelJoel Gilbert New Client FormsUse Adult
Husted, BrandonBrandon Husted New Client FormsUse Adult form
House, StacyStacy House New Adult Client FormsStacy House New Child Intake Forms
Kadair, Sherry Sherry Kadair New Client Intake Forma n/a
McKowen, ErinErin McKowen New Client FormsUse Adult form
Overstreet, KerriKerri Overstreet New Client Forms
Use Adult form
Penton, CherriCherri Penton New Client FormsCherri Penton New Child 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 (if you are a couple, both need to sign):

Authorization for Release/Exchange of Confidential Information Form

IMPORTANT QUESTIONS TO ASK YOUR INSURANCE COMPANY:
Click HERE for a list of questions to ask your insurance company if you want to use your mental health insurance benefits.