All Clients
These forms are required by all clients.
Intake Form
Authorization for Teletherapy
Consent for Therapeutic Treatment
Credit Card on File
Notice of Privacy
Consent for In-Person Services During Covid-19 Public Health Crisis
Co-Parenting Counseling
Contract for Co-Parenting Counseling and Skill Building Sessions
Parents participating in Co-Parenting Counseling (Court-ordered or Voluntary) should fill out and sign this form.
Parent-Child Reunification
Consent for Minor Therapeutic Treatment
Families participating in parent-child reunification services should fill out and sign this form.
Release of Information / Court-Ordered Services
Authorization to Release or Exchange Information
This form is optional for anyone using our services voluntarily and required for anyone who is Court-Ordered to use our services.
The use of this form allows us to speak to others that have involvement in your situation (e.g., child or personal therapist, attorney). Court-Ordered persons must authorize contact with court officials, and can optionally authorize contact with others involved (e.g., child or personal therapist, attorney).
Contract for Court-Related Services
This form is required for families participating in our services through a Court Order or Consent Order signed through your attorney.
Divorce Mediation
Contract for Mediation Services
This form is required for those utilizing divorce mediation services.