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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.
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1. New Client |
Right click here! and select "Save Target As" to
download this form. |
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2. Disclosure Record |
Right click here! and select "Save Target As" to
download this form. |
| 3.
Receipt Priv Prac |
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download this form. |
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4. Private Prac |
Right click here! and select "Save Target As" to
download this form. |
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5. Yellow Sheet |
Right click here! and select "Save Target As" to
download this form. |
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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. |
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7. Consent To Treat A Minor |
Right click here! and select "Save Target As" to
download this form. |
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