I am Assistant Director for The Mind of Christ Counseling Center which utilizes the following forms:
Please read these forms prior to your first appointment. You may print and keep them if you prefer.
The Mind Of Christ Counseling |
Informed Consent Mandatory Reporting Requirements |
HIPAA Notive of Privacy Practices |
What to Expect from a Licensed Professional Counselor |
Please complete the following forms and bring with you to your first session.
Agreement Form |
Client Information |
Client Personal History |
If applicable, please also complete the forms below and bring to your first session.
Adolescent Intake |
Adolescent Information |
Personal History of a Minor |
Consent to Treatment of a Minor |
Couples Counseling Intake |