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If you’re a first-time client, please review and complete the following form with blue or black ink prior to your counseling session, class, group, or workshop. 

Forms for all new clients:

Intake Form

Biopsychosocial Assessment

Concerns Checklist

Getting To Know You

Limits of Confidentiality

Cancellation Policy

Additional Forms for Children and Adolescents:

Child checklist

Additional Forms for Couples:

Martial Inventory

Couples Questionnaire

All forms are available in Adobe’s PDF format for viewing and printing. To view and use the forms you must install Adobe Acrobat Reader on your computer. Acrobat 5.0 (minimum) is required for all fillable forms.



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