Document Upload Form

Please use this form to directly send us documents.
This is a secure upload form, and your counselor,
billing, etc. will get your documents shortly
after it is uploaded.

Release of Information

This form is needed for us to speak with other
providers, family, etc. on your behalf.
It can be revoked by you at any time.

Records Request

If you would like a copy of your records,
or if you need a copy of your records sent somewhere,
please complete this form. We will process
record requests within 1 business day.

Screens

These screens are included in the intake paperwork.
You may be asked to complete these screens
again during you time in counseling with us.

Insurance Update Form

This form is needed when
your insurance information changes,
or when going from self pay to insurance, etc.