Child Intake Forms

If your child is a new client, you can print and complete the following forms to bring to your initial counseling session.

child intake form

If you're a new client or a parent whose child is 18 years and younger, please complete the following form and bring it to your first session.

minor consent Form

If you're a new client or a parent whose child is 18 years and younger, please complete the following form and bring it to your first session.

Youth Agreement Form

We look forward to working with you and would like to take this opportunity to outline some of what you may expect if you decide to work with us, including clearly defined rights and responsibilities that apply to each of us, legal issues and confidentiality.

HIPPA NOTICE of privacy practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

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