Client Forms

Please complete the following forms to bring to your first counseling session.

Individual Counseling Forms

Individual Information Questionnaire –

Information Questionnaire – Page 2

Notice of Privacy Practices

Receipt of Privacy Practices Signature Page

Couple Counseling Forms

(each partner completes a separate page 2 of the questionnaire)

Couple Questionnaire

Information Questionnaire – Page 2 

Notice of Privacy Practices

Receipt of Privacy Practices Signature Page

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