New Patient Forms

patient forms I am Assistant Director for The Mind of Christ Counseling Center which utilizes the following forms:

Please read these forms prior to your first appointment. You may print and keep them if you prefer.

PDF_icon.thumbnailThe Mind Of Christ Counseling
PDF_icon.thumbnailInformed Consent Mandatory Reporting Requirements
PDF_icon.thumbnailHIPAA Notive of Privacy Practices
PDF_icon.thumbnailWhat to Expect from a Licensed Professional Counselor

Please complete the following forms and bring with you to your first session.

PDF_icon.thumbnailAgreement Form
PDF_icon.thumbnailClient Information
PDF_icon.thumbnailClient Personal History

If applicable, please also complete the forms below and bring to your first session.

PDF_icon.thumbnailAdolescent Intake
PDF_icon.thumbnailAdolescent Information
PDF_icon.thumbnailPersonal History of a Minor
PDF_icon.thumbnailConsent to Treatment of a Minor
PDF_icon.thumbnailCouples Counseling Intake

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