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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.

 

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.
7. Consent To Treat A Minor Right click here! and select "Save Target As" to download this form.
8. Authorization For Release Of Information Right click here! and select "Save Target As" to download this form.


 

Home | Mission Statement | Therapists | Staff | Board | Forms | Retreats | Seminars & Conferences
Event Calendar | Resources | Tools and Resources | Ministry Connections | Devotional Tools
Welch Relationship Model | Video Workshops | FAQ's | Downloads | Donations | Contact Us

 
 


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