Client

Forms

1. Click on the appropriate link below.
2. Print and fill out the form
3. Scan the form to you computer and email it back to me at lfcounselling@icloud.com or bring it with you to your first session.

If you do not have access to a printer or scanner, I can fill out the form manually with you  during our first session.

The Informed Consent must be signed by you before counselling can begin. We will go over the consent form together during our first session.

 

Informed Consent

Client Intake Form

CouplesClient Intake Form

Authorization for use or Disclosure of Protected Health Information

Substance Use History Questionnaire