It is extremely important that you understand the policies and procedures of our practice. Treatment can only proceed following review of these forms, policies and understanding of the Consent for Treatment. We take your treatment seriously and are available to answer all questions you may have prior to agreeing to any treatment services.
Clinical Forms
Please complete the appropriate forms prior to your counseling appointment.
- Client Intake
- Release of Information
- Telemental Health Informed Consent
- Payment Expectations
- Acknowledgement of Clinical Practice Information
After completing the Clinical Health Forms online, please check your email for a confirmation email, as well as submit a copy of your Driver's License and Insurance below.
✕Policies
Please review our policies and sign the acceptance of policy form.
- Office Policies & Agreement (Consent for Treatment)
Download Policy - Social Media Policy
Download Policy - HIPPA Policy
Download Policy - No Show Follow Up Policy
Download Policy - Good Faith Estimate Rights
Download Policy
Submit Forms
Please use the form below to securely submit any documents.
You may also email your forms to info@counselingconnectionslv.com