Counseling for wholeness

Hope ~~ Help ~~ Heal

Forms

Please download, complete and return appropriate forms from below. Please contact me for any question or concern.

Anyone 18 and over use the following three forms:

ADULT-Info-FormDownload
ADULT-Consent-FeesDownload
NOTICE-OF-PRIVACY-PRACTICESDownload

Children’s Forms

For Children from age 10 – 14

Agreement-Concerning-MinorsDownload
Child-Info-FormDownload
MINORS-NOTICE-OF-PRIVACY-PRACTICESDownload
child-Consent-4-treatmentDownload