Forms & Privacy Information

 

New Patient Registration Instructions

Click here to go to the Resilient Counseling client portal and enter your contact and insurance information. The Biographical Form included in the online registration is extremely helpful but not required.  After the online portion of the registration is submitted, the documents that need to be signed will be emailed to you. Please complete these and bring them to your first appointment.  Emailed documents sometimes end up in your junk folder so please check there if you do not find them right away.  Please also review the Therapist Professional Disclosure and Privacy information when registering as a new client.

Intake forms are not included below.  Please go to client portal linked above to submit new patient registration online and then forms will be emailed to you.

Office Policies, Client Rights & Responsibilities

Authorization for Release of Information Form

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

HIPPA & Privacy Information