Child, Adolescent, and Adult Counseling

* Please download the form(s),

fill in your information, print,

and bring to your appointment

Contact Us: 
(614) 948-3273

Client Intake

In order to ensure that your visit is as swift as possible, please feel free to print and complete any of the following forms applicable to your visit. Arriving with all necessary paperwork greatly assists our staff in creating and updating your file while limiting your overall wait time. 

If you have any questions about any of our forms, please Contact a member of our staff for more information. 

The Welcome Packet and Therapist Disclosure Handout are only for your review and do not have to be printed or brought with you to your first appointment. The 'New Client Intake Form' needs to be completed and returned to the office, either by fax or email, 72 hours or more before your first appointment. The Consent for E-Therapy and the Consent for Treatment forms must be printed and brought with your to your first appointment so that the therapist can include the documents in your file."

You have the option of emailing the 'History Report' back to the therapist prior to your first appointment or you can print it out and bring it with you completed. Emailing the documents gives your therapist the opportunity to review the information prior to your first session. These forms can easily be saved to your computer, the information typed into the document and then saved to your computer. You can then attach the document to the email and sent it directly to the therapist at