Once you have scheduled an appointment you will need to complete paperwork. Print out the paperwork on single side paper. Please bring all the paperwork with you to your appointment. Please read over the paperwork carefully and answer all the items or questions asked. If you have any questions about the paperwork or policies, please mark them and we can discuss them at your first appointment.
We understand that this paperwork packet may be lengthy and time consuming, so please take your time in going through each section at your own pace and feel free to take breaks. Having this packet completed before your intake session will help your counselor in your therapeutic process. We appreciate your completion of this task.
Please make sure to print and fill out the correct paperwork packet by finding the packet by the title shown below. If you are unsure which packet you should print and fill out please call our office at 662-338-1880
New ADULT Client Paperwork -- This paperwork must be completed by the client. *If there are more than one individual being provided services this paperwork will have to be completed for each individual separately. Example; couples or family counseling.
New CHILD/ADOLSCENT Client Paperwork -- This paperwork must be completed by the parent or guardian of the child. *If there are more than one child being provided services this paperwork will have to be completed for each minor separately.
ADHD (Attention-Deficit Hyperactivity Disorder) Assessment for ADULT Clients – This will need to be completed by the client.
Recovery Assessment for ADULT Clients – This will need to be completed by the client. *There is an additional form that will have to be completed in the office.
Authorization to Release Confidential Information Form – This form maybe required for doctors, past therapists, teachers, family members, attorneys or legal aids, or other individuals who you, the client give written permission to release information for the purpose of make payments on your account, discussing treatment plans and goals, and therapeutic process.
Custody Consent Form – This form is required if biological parents are separated physically, currently going to through a divorce, or have legal separated legally and share joint legal custody. This form must be notarized and return to the office before the minor can be seen by a therapist. If there is legal or court custody documentation a copy will be required.