Important Paperwork
So we can spend more time talking, please fill our your new client paperwork prior to your session. Guardians of minors under age 17 should fill this out for the child. Please also read the below documents before filling out paperwork. Thank you!
Submit necessary forms ONLINE by clicking below:
ADULT New Client Paperwork (including couples)
Informed Consent to Work with Counselor Intern
Consent to Exchange Information or Records
Consent to Treat Minors (age 17 and under)
Or, print and fill out your form:
ADULT New Client Paperwork (including couples)
Informed Consent to Work with Counselor Intern
Consent to Exchange Information or Records
Additionally, please read and be informed of this information:
HIPPA Compliance (Your Rights as a Patient)
Counseling Packages (Buying in Bulk to Save Money)
Other useful forms:
How To Guide: Google Chat & Video – Setup instructions for Google Video or Chat sessions.
Evaluation Survey – Your feedback matters! – We value your opinion. Fill out anytime and fax, email, or mail – confidentially!
You’ll need Adobe Reader to download the above documents. Click this button to download now:
Love the couch. Love yourself.©
Call I Choose Change / Allen Counseling Center to schedule your free consultation now: 214-547-1318
