JAMES GOODMON COUNSELING, LLC
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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.


Intake Form
jgc_intake.pdf
File Size: 132 kb
File Type: pdf
Download File


Informed Consent Form
jgc_informed_consent.pdf
File Size: 54 kb
File Type: pdf
Download File


Release of Information
Print but do NOT fill this one out prior to your first appoint. 
roi.pdf
File Size: 90 kb
File Type: pdf
Download File


Couples Counseling Consent Form
Complete if applicable.
jgc_counseling_with_couples.pdf
File Size: 39 kb
File Type: pdf
Download File

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  • Home
  • About
  • Appointments & Fees
  • Location
  • Contact
  • Patient Forms