Client Forms for Counseling

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Initial Data Form

Client Intake Form

Statement of Understanding

Psycho Social History – This could be completed in addition to or as a substitute for the Intake Form.

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

 

Contact Today



Colesville, Silver Spring, MD 20904

info@balancedlifecounselingandtraining.com
(301) 887-3644

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