Form Library

sampleFor your initial session please print the correct forms for your visit and complete them as fully as possible. This will save you time and give you more opportunity to reflect on your answers.

All first time patients should complete the first 2 forms - HIPPA Notice & Social Media Policy. Please note - All other forms should be choosen based on the provider you are going to see. 

 

Forms for all Providers

HIPPA Notice Form

Social Media Policy

 

Forms for Dr. Gaye Vance

Adult Client Registration Form (ages 18-69)

Adolescent Client Registartion form (ages 13-17)

Minor Client Registration From (ages 8-12)

 

Forms for Dr. Ellen Spence

Adult Client Registration Form (ages 18-21)

Minor Client Registration From (ages 2-17)

 

Forms for Leska Meeler, LPC

Adult Client Registration Form (ages 18 & above)

Minor Client Registration From (ages 12-17)

 

Forms for Joanna Milkay, LPC

Adult Client Registration Form (ages 18 & above)

Adult-Couples Counseling Registration Form (ages 18 & above)

Minor Client Registration From (ages 4-17)

 

Forms for Emily Tucker, LPC

Adult Client Registration Form (ages 18 & above)

Minor Client Registration From (ages 13-17)

 

Standard Release of Information (if needed)