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
