Forms & Privacy Information

New Patient Registration Instructions

New patients will receive an email invitation to the Resilient Counseling Client portal that will allow you to create a user name and password.  This invitation will expire in 48 hours for security reasons and sometimes goes into your junk folder.  Once in the portal please fill out all of the demographic and applicable insurance information as well as completing all the initial paperwork.  Forms are signed by digital signature so no actual paper will be needed.  Couples will need to identify one party to fill out the paperwork in the portal as the “identified patient” and paper documents for signature and other details will be reviewed about their partner in the first session.  Please feel free to contact the Resilient Counseling office if you have any difficulties completing paperwork.

Click here to go to the Resilient Counseling client portal.

Intake forms are not included below.  Please go to client portal linked above to submit new patient registration.

Office Policies, Client Rights & Responsibilities

Authorization for Release of Information Form

Referral Form (for use by therapist, physicians, and other providers)

HIPPA & Privacy Information

Informed Consent for TeleHealth Services