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Counseling Services

Individual
Couples & Family
Relationship Issues
Grief and Loss
Anxiety and Fears
Depression
Personal Growth
Parenting Support
Stress Management
African American Mother with Daughter
African American Boy

Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session:

  • History form appropriate for the age group of the patient
  • Assessment or Therapy Consent Forms
  • Insurance Verification Form
     

If you are seeking Cogmed Working Memory Training, please complete the following forms and bring them to the orientation session:
Child

  •   Cogmed Parent Survey Form
  •   Cogmed Parent  Rating Scales
  •   Cogmed EULA
Adult
  • Cogmed Adult Survey Form
  • Cogmed Adult Rating Scales
  • Cogmed EULA

Therapy Consent Forms Dementia/Memory Evaluation Brochure
Assessment Consent Forms Geriatric Family Input Form
Child History Form Child Treatment Contract
Adolescent History Form  Insurance Verification Form
Adult History Form Cogmed EULA
COGMED Parent Survey Form  Cogmed Adult Survey Form
Cogmed Parent  Rating Scales  Cogmed Adult Rating Scales

Note: To download Adobe Acrobat Reader for free, click here.


Schedule Appointment

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Helpful Forms

Click here to view and print forms for your appointment.

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