FORMS

Please print out the following forms (1-6),fill them out, and sign them prior to your first appointment. Bring them with you, and we can discuss any questions you may have at that appointment.

To download the Counseling Form Packet in its entirety: 

agape_counseling_packet.docx
File Size:	32 kb
File Type:	docx

Download File

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​Individual Forms:

• (1) Counseling Intake Form /uploads/6/9/5/8/69580925/agape_counseling_services_intake_form.docx
• (2) Client Coaching Consent Form /uploads/6/9/5/8/69580925/agape_coaching_consent.docx
• (3) Notice of Privacy Practices (HIPAA) /uploads/6/9/5/8/69580925/agapeprivacynotice.docx
• (4) Release of Information /uploads/6/9/5/8/69580925/agape_release_of_information.docx
• (5) Professional Disclosure Statement /uploads/6/9/5/8/69580925/agapeprofessionaldisclosure.docx
• (6) Informed Consent for Assessment and Treatment /uploads/6/9/5/8/69580925/agapeinformedconsentandtreatment.docx

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