Forms

If you're a new client, please complete the following forms and bring them to your first session.

Forms for Counselling Clients

• Consent for Treatment and Limits of Liability
• Client Intake Questionnaire
• Authorization for Use or Disclosure of Protected Health Information

Forms for Coaching Clients

• New Client Information Form
• New Client Questionnaire
• Goals Worksheet

If you would like us to coordinate care with another provider, please complete the Authorization form to permit release of information.

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