Christian Counseling Cape Coral                                            Printable Forms

If you are a new client please print and read my Disclosure and Consent form and the Notice of Privacy Practices form prior to our first session. This will give you time to formulate any questions you may have for me before we begin therapy. Bring these forms with you to our first session.

  

 

DISCLOSURE AND CLIENT CONSENT  

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY  PRACTICES RECEIPT

 

In addition to the above form, please print and complete the following forms and bring them with you to our first session:

 

CLIENT INTAKE

PERSONAL HISTORY-ADULT

 

 

Thank You!

 

 

 

Colleen Tredway, MAPC, Provisional Mental Health Counselor Licensee
Cape Coral Christian Counseling Psychotherapy
 
1611 Santa Barbara Blvd., Ste 160
Cape Coral FL 33990
239.677.8921 
 
Providing Professional Christian Counseling Psychotherapy in Lee County.
Convenient office location in Cape Coral FL

 

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