Consent for Services & Confidentiality Agreements

Your appointment will be cancelled without completed forms.

Payment must be made at the time services is scheduled.

REQUIRED FORMS FOR SERVICES

Click to Complete Before Appointment for

Domestic Violence, Addictions or Parenting Classes or Assessments

STEP ONE: CONSENT FOR SERVICES & PRIVACY NOTICE

REQUIRED WITH STEP ONE IF APPLICABLE:

DOMESTIC VIOLENCE ANGER MANAGEMENT ENROLLMENT AGREEMENT

STEP TWO: INTAKE QUESTIONNAIRE FOR MY ASSESSMENT APPOINTMENT

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