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Parents and Child forms

Picture of parent and child getting better through counseling
Did you miss the instruction book that came with your child? (wouldn't that be nice)  Are things not harmonious at home?   If not, it would be good to talk to someone about how to have a harmonious home since that is one of the greatest needs of a child.  ​
Call with any questions

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Also, sometimes children need to talk about things that bother them, but do not want to talk to parents for fear of disappointing them and losing love.  We all need help from time to time.
You will need three forms total, one from each of the numbered choices depending on what applies.

   1.  All need the these first two files:
lcmhc_professional_disclosure_and_informed_consent.pdf
File Size: 473 kb
File Type: pdf
Download File

parental_consent_for_counseling_services_for_minors.pdf
File Size: 592 kb
File Type: pdf
Download File

   2.    Choose one of the next two files depending on whether your child is, or acts like a teenager or a child.
child_to_12yo_intake_form_parts_1&2.pdf
File Size: 483 kb
File Type: pdf
Download File

teen_intake_form_parts_1&2.pdf
File Size: 384 kb
File Type: pdf
Download File

If this is a tele-mental health visit download form below as well.
tele-mental_health_informed_consent.pdf
File Size: 632 kb
File Type: pdf
Download File

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