Belaire Counseling Services
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Empowering People to Move Forward

Counseling for adults, adolescents, children, couples, and families in
Baton Rouge, Louisiana
Schedule Appointment

Forms for your appointment


Print and complete all of the forms in your category.
Bring the forms to your first counseling session.  

If you are unable to complete the forms before your first visit, please let us know so that we can have the forms ready when you arrive for your appointment. If you choose to complete forms at the office prior to your first appointment, please arrive at least 15 minutes early so that you have adequate time to complete the forms before your session.

For adults attending counseling as an individual

Adult Forms

For adults attending counseling for couples

Couples Forms

For children 14 & under attending counseling

Child Forms

For teens 15-17 attending counseling

Teen Forms

For Custody Evaluations

Custody Evaluation Forms

To be completed if you wish to utilize the cash pre-payment option for counseling

Pre-Payment Form

Gives consent for Dr. Belaire to communicate with and get records from third party individuals or organizations

Consent to Release Information Form

Professional code of ethics from the American Counseling Association (ACA) for your review as needed

ACA Code of Ethics

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CONTACT INFO


(225)291-1335
[email protected]
​Fax: (225)291-1336

5536 Superior Dr. Ste. B
Baton Rouge, LA 70816

​Directions
Contact Us

Hours


Monday, Tuesday, Thursday
​1:00pm-6:00pm

Friday-Sunday, Wednesday
​Closed
© COPYRIGHT 2023. ALL RIGHTS RESERVED.
  • Home
  • About
  • Services
    • Mental Health Counseling
    • Legal Counseling Services
    • Child Protection
  • Forms
  • Contact
  • FAQ
  • Make a payment