Counseling Center in Fort Collins

New Client Intake Forms

Prior to your first counseling or coaching session, please print each of the following forms (Interview for Adult or Minor and Notice of Privacy Policy), fill out and bring them to your session (to save time during your visit). If you are a couple coming for counseling, you will each need to fill out one of the Interview Form for Adults.

Individual Counselor Forms

Please click on the name of the staff member you’ll be seeing and bring the form to your first session:

Please have the Release of Information Form ready if you have someone you will want the counselor to discuss your case with (doctor, teacher, other counselor, etc.).
Release of Information Form
For our HIPAA notice, click the button below to see a copy.
Print HIPAA Notice