Client Forms

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.

Client Registration Form

Adult Personal History

Minor Personal History (Under age 18)

Office Privacy Policies

Financial Agreement/Credit Card on File

Primary Care Coordination

Consent for Online Counseling (*for online sessions only)

Release of Information

311 Harrison St,
Grand Ledge, MI 48837

100 W Saginaw Hwy Suite B
Grand Ledge, MI 48837
Fax: 517-338-3090

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