NC CHRISTIAN COUNSELOR
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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.
Also, sometimes children need to talk about things that bother them but do not want to talk to their 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 these first two files:
​LCMHC Professional Disclosure Statement
Download

Parental Consent for Children or Adolescents
Download

2. Choose one of the next two files depending on whether your child is, or acts like a teenager or a child.
Child to 12 years old Intake Form
Download

Teen Intake Form
Download

If this is a tele-mental health visit download form below as well.
​Tele Mental Health Informed Consent
Download

Call with any questions
NCChristianCounselor.com
​© John Henry, M.Div. M.A.    (919) 949-7701
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Home | Meet John | Services | Client Resources |  Contact
  • Home
  • About Me
    • Training and Credentials
    • Why Choose Me?
    • Testimonials
    • Mission / Passion
    • Statement of Faith
  • My Services
    • Specific Services
    • Rates / Fees
    • What to Expect
    • Christian Counseling
  • Client Resources
    • New Clients
    • Client forms >
      • Individual
      • Couples
      • Parents and child
    • Free Resources
  • Contact
  • Leave a Testimonial or Google review
  • Website satisfaction Survey