Counseling Intake Form

Counseling Intake Form

New clients please fill out the following forms
Forms 1,2,3,4,5 and 6. Sheet 4 is for you to read at your leisure.

1. New Client	Right click here! and select "Save Target As" to download this form.
2. Disclosure Record	Right click here! and select "Save Target As" to download this form.
3. Receipt Priv Prac	Right click here! and select "Save Target As" to download this form.
4. Private Prac	Right click here! and select "Save Target As" to download this form.
5. Yellow Sheet	Right click here! and select "Save Target As" to download this form.
6. Form 6 needs to be filled out if you have insurance. We can bill Insurance Verification. Right click here! and select "Save Target As" to download this form.