First Session Forms
You can make your first visit a little easier by printing and completing a few necessary forms before your appointment. If you are unable to print and complete these forms, simply come early to your appointment and you can complete the forms before your session begins. If you are an adult (18 or older) and you are coming to your appointment with your partner or spouse, each adult attending the session should complete the forms below. If the appointment is for a minor, please contact us regarding a separate minor intake. Please wait to sign your forms until you are with your counselor. A photo ID will be required.

intake_-_hipaa_form_livelytherapy.pdf | |
File Size: | 158 kb |
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intake_-_adult_intake__-_2018.pdf | |
File Size: | 128 kb |
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intake_-_treatment_consent_-with_forensic_addendum.pdf | |
File Size: | 149 kb |
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intake_-optional_release_consent_of_records_to_3rd_party.pdf | |
File Size: | 80 kb |
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intake_-_client_id.pdf | |
File Size: | 123 kb |
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