Better Solutions Counseling Center
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New Patient Forms

Please print and fill out the following forms prior to your first appointment.

Intake Forms

Please fill out the adult form for ages over 18 and the child form for ages under 18.
Intake Form (adult)
File Size: 381 kb
File Type: pdf
Download File

Non-age Specific Forms

New Client Information
File Size: 426 kb
File Type: pdf
Download File

Consent to Treat
File Size: 400 kb
File Type: pdf
Download File

Checklist of Concerns
File Size: 412 kb
File Type: pdf
Download File

Payment Agreement and Assignment of Benefits
File Size: 413 kb
File Type: pdf
Download File

Intake Form (child/adolescent)
File Size: 458 kb
File Type: pdf
Download File

Legal information

HIPAA Information
File Size: 182 kb
File Type: pdf
Download File

Legal and Ethical Client Rights
File Size: 204 kb
File Type: pdf
Download File


Download All

New Patient Forms (zip)
File Size: 2654 kb
File Type: zip
Download File

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