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Quality and Caring Counseling Services
Couple Therapy Session

Pre-Appointment Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. It is preferred that you complete these forms prior to session so that it will allow more time for your first session, these forms typically take 15-20 minutes to complete.

1.   New Client Intake Form

2.   Treatment Fee/Insurance Payment Agreement

3.  Notice of Privacy Pratices-HIPPA 

4.  Consent to Use/Disclose Protected Health Information-PHI

5.  Release of Information Form

6.   Biopsychosocial Form



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