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TIC Intake Forms

Instructions for Intake Forms

  • Complete Both Pages of New Client Form. If coming for Couples or Family Counseling, please fill out a form for each individual.
  • Read and Sign the "Counselor/Client Agreement". Please discuss any questions or concerns you have with your counselor.
  • Know Your HIPPA Privacy Rights. This form is for you to keep and does not need to be returned to your counselor.
  • Bring Forms to First Appointment (or email).Please bring the completed paperwork with you to your first appointment.