Click on the links below to print the forms you need. Complete the forms and bring them to your first counseling session.
Pre-payment Option - To be completed if you wish to utilize the cash prepayment option for counseling.
Consent to Release Information - Gives consent for Dr. Belaire to interview and get records from third party individuals or organizations.
Release to Record Sessions – Occasionally Dr. Belaire may record a session in order to take notes at a later time or to monitor progress. Recorded sessions are protected under HIPAA and are deleted after use.