Forms and Documents

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Click link below to access intake forms for all ( sixteen and older) regular, recurring counseling sessions including: individuals, couples, or families. 

https://hipaa.jotform.com/201524776744056

Click link below to access intake and assessment forms for all referrals from DCBS or CPS. 

https://hipaa.jotform.com/201845493078159

Click link below to access intakes forms for all children under the age of sixteen. 

https://hipaa.jotform.com/201758167778066

Click link below to access intake forms for services treating substance abuse i.e. IOP groups, drug court groups, and individual counseling. (Does not include DUI... for all DUI assessments, please call 502-209-7817.) 

 https://hipaa.jotform.com/201880145777158

Click link below to access the release of information. 

https://hipaa.jotform.com/202108364578053

Click link below to access the consent for treatment via telehealth.  

https://hipaa.jotform.com/201680527379057

Click link below to access the EMDR consultation contract.  

https://hipaa.jotform.com/211153251888052