Group Counseling Forms & Information

Please make sure to submit all requested information in a timely manner. Missing information will cause delay. 

Thank you!

New client?
Group sign up below

The following forms are needed:

  1. Group Counseling Intake Packet
  2. Group Financial Agreement
  3. Credit Card Authorization
  4. Copy of driver’s license – send photocopy to our email or fax.
  5. If using insurance, copy of insurance card (front and back)

Additional Forms:

Notice of Privacy Practices (full document)

Are you a current client?

The following forms are needed:

  1. Group Counseling Intake, current clients
  2. Group Financial Agreement
  3. If using insurance let us know