Forms

MyCounselor is a provider of “Mental Health Services”. As such we must collect some information about you and your presenting concerns for our records (Intake Forms). We also need to provide you with some information about the services you will receive (Informed Consent). You’ll need to complete each of the following documents before your first session. Completing the documents prior to your first session is very important, as we can not provide you with services without these documents complete.

If you have any questions please give us a call at 855-593-4357 and we will be happy to answer them.

Each adult participating in sessions must complete the following:

If you are a parent or guardian scheduling family sessions, complete the Family Intake Form:

Insurance

Additional Forms