Weekend Workshops are now available for you to register. Click for more information.

Full of Heart Counseling & Consultation
Home
Who We Are
Services
TeleHealth
Announcements/Resources
Contact Us
FORMS
Therapy Portal
Full of Heart Counseling & Consultation
Home
Who We Are
Services
TeleHealth
Announcements/Resources
Contact Us
FORMS
Therapy Portal
More
  • Home
  • Who We Are
  • Services
  • TeleHealth
  • Announcements/Resources
  • Contact Us
  • FORMS
  • Therapy Portal

  • Home
  • Who We Are
  • Services
  • TeleHealth
  • Announcements/Resources
  • Contact Us
  • FORMS
  • Therapy Portal

Loving ourselves through the process of owning our story is the bravest thing we will ever do.


Brene Brown

FORMS and DOCUMENTS

UPDATE: Please note, ALL current FORMS are on the Therapy Portal once you are entered as a client.

BEFORE your appointment: Everyone must fill out the first Client Intake Form & other forms will be completed upon the request of your therapist.

Thank you.


You may complete these forms without printing by using a free online service such as pdffiller.com

Client Intake Form (pdf)Download
Couples Counseling Intake Form (pdf)Download
Family Therapy Intake Form (complete for each family member) (pdf)Download
Intake Supplement for Children ages 8-12 (w/o parent support) (docx)Download
Intake Supplement for Children ages 7-10 (with parent support) (docx)Download
Child Behavioral Assessment (pdf)Download
Telehealth Informed Consent (pdf)Download
Informed Consent (pdf)Download
Litigation Consent (pdf)Download
Release of Information (pdf)Download
Associate Therapist Agreement (pdf)Download
HIPAA Notice 2022 (pdf)Download
Family 6 Week3-pageNEW (pdf)Download

No Surprise Act 2022

For "out-of-network" benefits ONLY

Copyright © 2022 Full of Heart Counseling & Consultation - All Rights Reserved.

Powered by GoDaddy Website Builder