Click on the links below to print each form. Complete the forms and bring them to your first counseling session.
Child Information Form - To be completed by a parent or guardian for all children and teenagers who will be attending counseling
Adult Information Form- To be completed by all teenagers ages 15-17 who will be attending counseling
Declaration Statement - To be signed and initialed by all adults attending counseling sessions. A separate form should be signed by a parent or guardian for each child or teenager attending counseling.
HIPAA Privacy Notice - To be reviewed by all adults attending counseling sessions (This is to be kept for your records and does not need to be brought to the counseling session.)