These forms are to be printed and filled out before your first appointment and brought with you.  If you are unable to print out the forms, please show up to your appointment fifteen minutes early. 

If you have trouble making your appointments.  Call 606-548-1502.  You may be eligible for our online counseling.


New Client Intake Form

Contact Form

Consent -To- Treat

Freedom of Choice

Release of Information for Files and Information

Online Counseling Release

Request for Individual Record’s

Client’s Rights