Individual forms
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Please download, print, and fill out at least the first two forms and bring them with you to our first session.
Adult Client Intake Form
LCMHC Professional Disclosure Statement
Authorization for Release and Exchange of Information
Optional: If you want John to be able to talk to your Spouse/Partner or someone else, please fill out this Release of Information along with the other forms.
If this is a tele-mental health visit download the form below as well.
Tele Mental Health Informed Consent
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