Individual Counseling

Your time is valuable. To speed up the intake process, please print out and complete all the documents below and bring them with you to your scheduled intake appointment.

ADULT INTAKE FORM (AGES 16 AND UP)
This form asks for basic demographic, medical, and mental health information.

MILITARY AFFILIATION
This form asks for information pertaining to military connection.

Client Intake.docx
File Size:	126 kb
File Type:	docx

Download File

Military Affiliation_.docx
File Size:	72 kb
File Type:	docx

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MISSED APPOINTMENT
This form explains our policy for missing and canceling appointments.

Missed Appointment Policy.docx
File Size:	962 kb
File Type:	docx

Download File

TREATMENT AGREEMENT
This form discusses how or program works and the way we operate.

Treatment Agreement.docx
File Size:	20 kb
File Type:	docx

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NOTICE OF PRIVACY PRACTICES
This form explains our privacy and confidentiality standards that we must legally abide by.

Notice of Privacy Practices.doc
File Size:	50 kb
File Type:	doc

Download File

Individual Counseling

TREATMENT AGREEMENTThis form discusses how or program works and the way we operate.

NOTICE OF PRIVACY PRACTICESThis form explains our privacy and confidentiality standards that we must legally abide by.

TREATMENT AGREEMENT
This form discusses how or program works and the way we operate.

NOTICE OF PRIVACY PRACTICES
This form explains our privacy and confidentiality standards that we must legally abide by.