Forms

Intake Forms

The following are intake forms to be completed on the recommendation of your counselor. Click to access the recommended form, fill out and submit prior to the time of your appointment:

Form IconIndividual Client Intake Form

Form IconCouples Coaching Intake Form

Form IconCo-Parent Intake Form

Form IconMediation Intake Form

Consent Agreements

The following are consent agreements to be completed on the recommendation of your counselor. Click to access the recommended agreement. These agreements require using either a touchscreen or a mouse to provide an e-signature as acknowledgement and consent to the terms and conditions of the agreement. Please fill out and submit prior to your scheduled appointment:

Form IconCo-Parent Coach Consent Agreement

Form IconParenting Coordination Consent Agreement

Form IconCollaborative Neutral Family Coach Consent Agreement

Form IconMediation Consent Agreement

Form IconCoaching Consent Agreement

Form IconCouples Coaching Consent Agreement

Form IconWhole Family Intervention Consent Agreement

Other Forms

The following are important forms to be completed on the recommendation of your counselor. Click to download the recommended form, fill out and return at the time of your appointment:

Form IconRelease of Information Form

Form IconCredit Card Authorization Form