Please click to download the complete forms you will need to bring with you to your appointment. You will need to download both the Client Application and your therapist’s disclosure form. Be sure to sign the application (page 2, the HIPAA compliance form (page 4), the fee schedule (page 6) as well as your therapist’s disclosure form. We must have a signed disclosure form before you meet with a therapist. If you are a church looking to pay the cost of a person’s therapy, visit our church forms page.
New Client Application, Disclosure Form and Fee Schedule
If you don’t have one, you may need to download a free PDF reader. Either one of these providers will work: