Client Information Form

Instructions: Please open the "Client Information & Informed Consent for Counseling Form" and enter your information into the appropriate fields and read the document. After Completing print and initial each section to indicate your understanding of the content. Questions are welcome, and will be answered to your satisfaction prior to beginning counseling. A copy of the document will be provided to you at your request. Your signature is required as confirmation that you have been provided with this information, and are entering into the provision of professional counseling services voluntarily. Please understand that you may end this agreement/counseling relationship at any time.

(Click Here to complete and print form)