Complete the counseling forms for your first session

There are a few online forms which should be completed prior to your first counseling session. Each form will be automatically and securely submitted upon completion.

For Individual Counseling:    

Client Information

Medical Information

Agreement for Service

HIPAA Notice of Privacy Practices

Payment Authorization (If sessions will be conducted online.)

Symptom Questionnaire (If sessions will be conducted online.)

For Discernment Counseling, each spouse should complete:

Client Information

Agreement for Service: Discernment Counseling

Symptom Questionnaire

HIPAA Notice of Privacy Practices

Secrets Policy

Payment Authorization (If sessions will be conducted online.)

For Couples Counseling, each partner should complete:

Client Information

Medical Information

Agreement for Service

HIPAA Notice of Privacy Practices

Secrets Policy

Payment Authorization (If sessions will be conducted online.)

Symptom Questionnaire (If sessions will be conducted online.)