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Forms

For your first session please complete the new client paperwork listed below or arrive 15 minutes prior to your scheduled appointment to complete privacy paperwork. 

NEW CLIENTS 
If you are a new client, please complete the following forms and bring them to your first counseling session:

FINANCIAL ASSISTANCE 
If you are in severe financial hardship and are receiving help from other organizations such as WIC, SSI, Disability, LifeHope, Non-profits, etc and would like to apply for a assistance, please print and fill out the following form and bring them to your therapy session. You may give them to the administrative assistant at the front desk to be reviewed by our committee. Upon review, the administrative assistant will let you know if you qualify:

TREATMENT OF MINORS 
If you are bringing your adolescent to counseling, please complete the Client Intake Form for Counseling and the Consent to Treat a Minor Form and bring them to your first therapy session. Both parent's signatures are required.


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