Please carefully review the instructions as well as each form. If you would like to receive a copy of each form, you can do so by inputting an email address.

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Client Services Agreement

for Individual Therapy Services

For each of the four fields below, please click “Add Form” and fill out the form that displays. Once you have added the form, you should see the client/participant’s name and your signature come up. After completing all four forms, you may click submit.

If you are consenting for multiple participants, please refresh your page after submission to complete another form.

Individual Therapy Agreement

Client Legal Name	Signature	Actions

There are no Forms.

Emergency Contact Form

Client/Participant Legal Name	Signature	Actions

There are no Forms.

Additional Communications Form

Client/Participant Legal Name	Signature	Actions

There are no Forms.

Portal Election Form

Client/Participant Legal Name	Signature	Actions

There are no Forms.

Individual Services Agreement