Print Out, Complete, and Have Ready for 1st Session

If you are the parent or guardian of a child who is coming for counseling, please print out the following form:

Child Questionnaire

Please also bring completed Parent's Permission form to the first session.

Parents Permission New

 

With a teenager, you will need two forms. First, bring signed Parent's Permission form for first session.

Parents Permission New

Also, please print out and complete the following Teen Questionnaire. Please note the questionnaire is meant for both parent and teen to fill out together, as some of information probably only parent would know:

Teen Questionnaire 305

 

If you are adult client, please print out the following form and bring to the first session. Note: if you are an EMDR client, there will be additional history-taking needed, which will likely begin in the second session.

 

Adult Questionnaire 305