Forms
Please read, complete and bring the following (adult or minor) forms to your intake appointment.

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Insurance Intake Forms

• Adult Intake Insurance Form​
• Minor Intake Insurance Form

Self-Pay Intake Forms

• Adult Intake Form Without Insurance
• Minor Intake Form Without Insurance

Other Forms

• Privacy Policy
• LCMHCS Professional Disclosure Statement​
• Minor's Privacy of Information Shared in Counseling ​