PATIENT FORMS
NEW PATIENTS:
Please download the following PDF forms, print them, and fill-out the paper copies. Bring the completed forms with you to your first visit. Do not email these forms back for confidentiality reasons.
Please download the following PDF forms, print them, and fill-out the paper copies. Bring the completed forms with you to your first visit. Do not email these forms back for confidentiality reasons.
Intake Form
jgc_intake.pdf |
Informed Consent Form
jgc_informed_consent.pdf |
Release of Information
Print but do NOT fill this one out prior to your first appoint.
roi.pdf |
Couples Counseling Consent Form
Complete if applicable.
jgc_counseling_with_couples.pdf |