Ph: 225-387-2287      Fax: 225-383-2722

Forms

Please select the appropriate form(s), print them out, fill them out and bring them to your first session. If you can’t print them, come 30 minutes early for your first session.
Thank you !

FORMS FOR:

INTAKE FORMS FOR ADULTS AND ADOLESCENTS 16 & OVER

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ALL FORMS LISTED ARE REQUIRED AT THE FIRST APPOINTMENT

NOTE:  For COUPLE counseling, EACH person needs to fill out their own set of forms

CounselorAdults 
Adams, DeeDee Adams New Client Forms
Alleman, JulieJulie Alleman New Client Forms
Gilbert, JoelJoel Gilbert New Client Forms
Jacoby, KyndalKyndal Jacoby New Client Forms
Kadair, SherrySherry Kadair New Client Forms
McIlwain, LoganLogan McIlwain New Client Forms
McKowen, ErinErin McKowen New Client Forms
Sneed, KenKen Sneed New Client Forms

Other Forms:  If you need to have your counselor share information with someone else, you’ll need to print, complete, and sign this form:

Authorization for Release/Exchange of Confidential Information Form

IMPORTANT:
Click HERE if you want to use your insurance benefits