New Client Information: Youth

This form is to be completed by the parent/caregiver of a youth attending a session for the first time.

New Client Information: Adult

This form is to be completed by a person attending counseling who is over the age of 18 or who is an independently referred adolescent (16-18).

Service Contract

This is legal contract describing the service agreements between the therapist and the client. Read through carefully, it contains all of our major policies. For youth with divorced or separated parents and custody is shared, both parent signatures are required on this form.

Notice of Privacy Policies (for the client to keep)

This form describes confidentiality and privacy policies as mandated by Health Insurance Portability and Accountability Act (HIPAA). To learn more about your rights, see below for some supplemental HIPAA information from hhs.gov:

Release of Information

To be completed to allow therapist to speak to other care providers (previous therapists, teachers, doctors and so on).

Custody/Access Dispute Contract

Creative Counseling for Youth and Families does not provide testimony for custody or parent access court cases. If you need a referral for clinicians who provide this service please let us know or seek legal council.

If you have questions about forms needed, feel free to Contact Us.