Life Counseling, LLC
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First Visit Forms

Please print, review and complete the forms below, and bring them to your first visit.  If you plan to utilize your insurance, please bring your medical insurance card and ID.  Each session is typically 45-50 minutes.  

If the primary patient is a minor (under age 18), please also complete the child/adolescent intake information form and bring it to your first visit.  For minors in counseling, the legal parent or guardian must sign the consent forms.   
Client Registration Form.pdf
File Size: 61 kb
File Type: pdf
Download File

Informed Consent.pdf
File Size: 113 kb
File Type: pdf
Download File

Adult Intake Information.pdf
File Size: 21 kb
File Type: pdf
Download File

HIPPA.pdf
File Size: 102 kb
File Type: pdf
Download File

HIPPA Acknowledgement.pdf
File Size: 119 kb
File Type: pdf
Download File

Child and Adolescent Intake Information.pdf
File Size: 19 kb
File Type: pdf
Download File

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