Your counseling session time is very important. Please fill out these forms prior to your initial session to prevent cutting into our time together. Please bring them with you to your appointment.
FOR AN INDIVIDUAL SESSION, BRING:
1. Your counselor’s Disclosure Statement
2. Individual Client Form
3. Notice of Privacy Practice
For a Couples/Marriage session, bring:
1. Your counselor’s Disclosure Statement
2. Couples Client Form
3. Individual Client Forms (1 for husband & 1 for wife)
4. Notice of Privacy Practice
For a Child/Adolescent session, bring:
1. Your counselor’s Disclosure Statement
2. Minor Client Form
3. Notice of Privacy Practice
Click on the links below for the forms.
Laura Ketchie’s Disclosure Statement
Vincent Ketchie’s Disclosure Statement
Telemedicine Informed Consent Form
Sometimes, individuals or churches choose to sponsor clients and help pay for sessions. Below are the additional forms needed:
At times, a client may wish for us to speak with a third party about them. In order for us to do this, the client must give us written approval. Below is the form to be fill out, signed, and returned to us for this instance.
