Forms

1. Please complete the each of the following forms and bring them with you to your first appointment. You will need to print-complete-and sign each of the forms.

New Patient Information
Medical History
Financial Agreement Form

Permission to see a minor (if client is below age 18)

Parent Interview (if client is below age 18)

2. If you have insurance, know your insurance benefits and bring your insurance card with you. The following worksheet is provided to help you determine your mental health insurance benefits. Please complete the form and bring it to your first appointment.

3. If applicable, be prepared to pay for the session in full or the co-pay or deductible required by your insurance company.

4. Make a list of issues that are bringing you into counseling and questions you may have.

5. Remind yourself that asking questions during the session is valuable.