Forms

Below are links to files that you may be required to fill out before your visit.

Feel free to give us a call and find out which ones are appropriate for you, download them, and fill them in at your convenience before coming in for your initial session.

Note:  All documents are in .pdf form unless otherwise noted.  You can download the Adobe Reader free by clicking on the button below

Intake Forms

Counseling Intake Form
HIPPA Agreement
Financial Agreement

Other Forms

Phone Counseling
Authorization for Release of Information
Counseling Intake Form (Spanish)

Treatment

Daily Moral Inventory (DMI)
DMI Definitions
Counseling Evaluation

Diagnostic

Biopsychosocial History
Adlerian Lifestyle Questionaire
Domestic Safety Assessment
Mood & Goal Tracking Diary

Staff Application Forms

Staff Application
Doctrinal Position

Church Application and Referral Information

Contract for Counseling Services
Counseling Scholarship Protocols