Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

All forms are in Adobe Acrobat Format.  You may click on the link below to download the newest version of Adobe Acrobat.


If you are interested in TELE-HEALTH, please download the following form.  The form must be signed and e-mailed back to us to schedule a TELE-HEALTH Appointment.  We are utilizing DOXY.ME to ensure encrypted sessions for your confidentiality.

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

WV DUI Safety & Treatment Program
Also check out the DUI Program Tab for more helpful information

Note: To download Adobe Acrobat Reader for free, click here .

Schedule Appointment

Start your new path in life and be the change today!

Click Here

Helpful Forms

Click here to view and print forms for your appointment.

Click Here
background of the page