Client Forms
Please print out the appropriate documents before you come to counseling.
Please print out the “Client Info Form” and the “Agreement Form” for the counselor that you are coming to see.
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Client Info Form
This form should be completed by all clients regardless of Counselor.
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Consent for Release of Confidential Information
This form gives us permission to release your confidential information to a third-party if requested.
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Emily Kirby Declaration of Practices and Procedures
Please complete this form before your appointment with Emily Kirby.
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Emily Kirby Information & Agreement
Please complete this form before your appointment with Emily Kirby.
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Justin Jones Information & Agreement
Please complete this form before your appointment with Justin Jones.
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Marty Miller Information & Agreement
Please complete this form before your appointment with Marty Miller.
