All required forms must be filled out using the fillable pdf forms. Please print or email forms to [email protected] so that they are available for the first session or engagement.
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INFORMED CONSENT/DISCLOSURE
This required form will provide a full service disclosure and gain consent to the therapeutic process. |
NEW CLIENT INFORMATION-ADULT
This required form will obtain personal and necessary information that will assist with therapeutic planning. |
NEW CLIENT INFORMATION-MINOR
This form is only required for new minor clients. Parents/guardians should fill out this form with the minors involvement. |
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FINANCIAL AGREEMENT
This required form outlines the financial agreement for the therapeutic process between you and POPCounseling. |
PRIVACY DISCLOSURE
This required form provides an overview of your privacy and disclosure rights as a client per HIPPA laws. |
RELEASE OF INFORMATION
This form is only required when you provide permission for release of information between another provider. |