JASON M. ADAMS, LPC, NCC
Home
About
Services & Fees
Resources
Contact
Intake Forms
Please
read
the following document prior to your initial appointment:
Privacy Notice
File Size:
87 kb
File Type:
pdf
Download File
Please
print
and
complete
the following forms prior to your initial appointment:
Information & Consent
File Size:
88 kb
File Type:
pdf
Download File
Medical History
File Size:
48 kb
File Type:
pdf
Download File
Intake Form
File Size:
58 kb
File Type:
pdf
Download File
Social History
File Size:
51 kb
File Type:
pdf
Download File
Please
print
and
complete
the supplemental consent form below
only if it applies to you
. The Distance Counseling form is for clients receiving counseling services electronically (email, online chat, phone, and/or video conferencing).
Distance Counseling Consent
File Size:
71 kb
File Type:
pdf
Download File
Home
About
Services & Fees
Resources
Contact