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Clinical Counseling With A Christ-Centered Approach

African American Couple

Helpful Forms

 
 
Intake Form
If you're a new client, please complete the Intake Form and bring it to your first therapy session. Thank you! 

Intake Form

 

 

 

Helpful Forms

Release of Information Form

Life History Form

Your Information Your Rights Our Responsibilities

Survey - How are we doing?

Survey - How'd we do?

 

 
 
 
Authorization to Disclose Information
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.) complete this form and authorize release of psychotherapy information

Authorization to Disclose Information Form