Required Patient Forms
Licensed Clinical Professional Counselor
Boise, Meridian, Eagle, Nampa, Garden City, Star & Kuna
If you’re a new client, please print and complete the following forms prior to our first therapy session.
- Intake Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Payment Authorization Form
- Informed Consent
- Anxiety Assessment
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.