Forms

Connective Counseling offers marriage/couples, family, and individual counseling services virtually across multiple states. If you scheduled an initial session for counseling services, please complete the following applicable forms prior to your first appointment. The HIPPA form does not require a signature and is for your reading only.

Adult Intake Form (CC)

Child Intake Form (CC)

Informed Consent (CC)

HIPPA Privacy Practices (CC)

*photo courtesy of https://ellyndarlingphotography.com