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The Intake, Counseling Agreement, and Consent to Use and Disclose Your Health Information forms will be completed at the first session. The Notice of Privacy Practices should be reviewed before consent is signed. Please feel free to print out and complete any or all of these documents and bring them with you to your first session.

These forms are in PDF format and require Adobe Acrobat reader to be downloaded and printed.

Click to download PDF of:

Intake Form

Counseling Agreement Form

Notice of Privacy Practices Consent Form

Notice of Privacy Practices

Click here to download a free version of Acrobat reader.




When Abuse is Present in Marriage Marsha Hicks, LPC, November 2017

When Forgiving is Hard Christina Gilardi, LPC, February 2018