harmony counseling services

Individual, Couple & Family Therapy

Client Forms

For your convenience, our new client paperwork is available to you online. Once you have scheduled an appointment, please print these forms and complete them prior to your arrival.

 

Please bring all completed paperwork to your first appointment.

 

Client Information Form:

Please complete one form for each client. Couples need to complete a form for each partner.

 

 

Informed Consent Form

Please complete one form for each client. Couples need to complete a form for each partner.

 

 

Notice of Privacy

Please complete one form for each client. Couples need to complete a form for each partner

 

 

Consent to Treat a Minor Child

Please complete if a minor child will be treated.

 

 

 

Credit Card Authorization Form