Client Forms

Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Adult Intake

Adult Checklist

Child Check List

Child Intake form

Couples Intake Form

COVID19 Policy

Credit Card Authorization

Declaration of Practice and Procedures

Fee Schedule

GCC Insurance Form

LMFT associate form for Mike

LPC intern form for Beth

LPC intern form for Chelsea

LPC intern form for Lizette

LPC intern form for Marisa

TeleMental Health Therapy Services

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Release of Information