Clear Brook Counseling Professionals

To make your initial appointment a little easier, here are the forms you can fill out and bring with you. If you are unable to print these and bring them with you, please plan on arriving at your appointment at least 15 minutes ahead of your scheduled time to fill these out in the office. We have also included these forms in the online client portal which may be found by clicking on My Account and finding your therapist. 

HIPAA Consents (must be signed for every client) 

Agreements for Service (must be signed for every client)

Adult Intake Form (must be completed for any client that is 18 or over)

Minor Intake Form (must be completed for any client under the age of 18 by a parent or guardian) 

Telehealth Consent Form (must be signed before any online telehealth therapy session)

EMS Support Check In (only EMS personnel need to fill this out)

 

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