Downloads are broken down into two categories for use. Word files are downloadable only and cannot be opened in your browser. Once you download them to your machine you can edit them and save or print. Adobe pdf format is used for printing directly from your web browser. If you do not have Adobe Reader then get it here for free. Some forms only have PDF versions.

Counseling Services


Referral Form

Adobe Reader Document

Downloadable - Right click and choose "Save Target As"

Mental Health Referral Form Referral - PDF Referral Form- Word

 

Intake Package

Adobe Reader Document

Downloadable - Right click and choose "Save Target As"

Non-Use Agreement Non-Use Agreement - PDF Non-Use Agreement - Word
Attendance Agreement Attendance Agreement - PDF Attendance Agreement - Word
HIPAA Rights HIPAA - PDF HIPAA - Word
Outpatient Client Rights Client Rights - PDF Outpatient Client Rights - Word
Medication Log  Medication Log - PDF Medication Log - Word
Psycho-Social Assessment - Adult Adult - Pyscho-social Assessment - PDF Adult - Psycho-social Assessment - Word
Psycho-Social Assessment - Child Child - Pyscho-Social Assessment - PDF Child - Psycho-social Assessment - Word

 

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