Forms

For new counseling clients, please print the following forms, fill them out as needed, and bring them with you to your first session.

The Notice of Privacy Practices does not need to be brought in with you, but we are required to give it to you and you need to sign that you reviewed it in the appropriate place on the Therapeutic Contract.

Therapeutic Contract

Sliding Scale Form

Intake Form

Notice of Privacy Practices

If you are the parent and your minor child is the new client, please also print and fill out this form:

Consent to Treat a Minor

For new mentoring clients, please print the following forms, fill them out as needed, and bring them with you to your first session.

Mentoring Agreement

Sliding Scale Form