Family Counseling Intake Forms

Please complete the forms in Microsoft Word and email to us before your first appointment. Child Biographical needs to be completed for all children less than 18 years of age. If you do not have email please print and complete the forms and bring them with you to your first appointment. Any questions please contact us at 304-340-3676.

PDF Microsoft Word File
Adult Biographical Adult Biographical
Agency Fee Policy Agency Fee Policy
Child Biographical Under 18 Child Biographical Under 18
Clients Rights Clients Rights
Consent Consent
HIPPA HIPPA
HIPPA Receipt HIPPA Receipt
Financial Schedule Financial Schedule
Insurance Agreement Insurance Agreement


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