There are several standard clinical intake forms that we ask each new client to complete:
ALL FORMS MUST BE SUBMITTED 24 HOURS IN ADVANCE OF THE SCHEDULED APPOINTMENT. IF FORMS ARE NOT RECEIVED 24 HOURS IN ADVANCE OF YOUR SCHEDULED APPOINTMENT YOUR APPOINTMENT WILL BE CANCELED.
Forms can be submitted via email: email@example.com or via fax: 205-610-9319.
It should take about 10 minutes to complete these forms. So that we can spend your session time focusing on your concerns and not paperwork, we prefer to have you fill them out ahead of time, before the start of the first session. If you are coming as a couple, each spouse should fill out the complete package listed above.
Clicking on a link below will open a PDF version of these forms in a separate window. Then you can print the forms directly to your printer, complete them at home, and bring them with you to the first appointment.
Please select one of the five categories below that most pertains to your situation and click on the link in that box to open the intake forms.
CLICK ON A LINK BELOW TO DOWNLOAD INTAKE FORMS
Individual Counseling Intake Package
Use these forms if you are coming for individual counseling.
Couples Counseling, Pre-marital Counseling, Marriage Check-up Intake Package
Use these forms for couples counseling, pre-marital counseling, and the Marriage Checkup program. Each individual in the relationship will need to complete the forms.
Child and Adolescent Intake Package
Use these forms instead of the General Intake Package, if the counseling is for a child or youth under the age of 18, or if you are seeking family therapy and plan to have children or youth present in the sessions (there are additional forms to complete for child or family therapy).
Forensic Counseling Forms
Use the forms for forensic counseling services which include psychosexual evaluations, referrals, sex offender treatment program.
Group Therapy Informed Consent
For all new group members
All new group members are required to complete a New Group Member Participation Form