Client Forms
Download Client FormsLifePaths: Client Forms
Thank you for choosing to work with one of our counselors here at LifePaths. Our forms are listed below, according to the services you will receive with us.
Please note that your forms must be completed before your first appointment with your counselor. If you have any questions please get in touch with the counselor you are working with, or the Director, Cathy Wilson, at cw@lifepathscounseling.com or by phone or text at 303-801-7878.
Health Screening Form: Due to COVID-19, until further notice this form must be completed prior to any in-person session. If your counselor does not receive it before your appointment, your appointment will be rescheduled and you will be charged the full fee for your session. Click here to complete the form.
Forms for Individual Counseling – Adults
Disclosure and Consent (Required)
Intake (Required)
TeleHealth Consent or COVID-19 In-Person Consent (required according to how you are receiving services)
Release of Information (only when counselor requests)
Credit Card Authorization (Required)
Forms for Individual Counseling – Children and Teens
Disclosure and Consent (Required)
Parent Consent (Required from both parents/guardian)
Intake for ages 3-12 or Intake ages 13-17 (Required according to age)
TeleHealth or COVID-19 In-Person Consent (Required according to how you receive services)
Release of Information (only when requested by your counselor)
Credit Card Authorization (Required)
Forms for Couples Counseling
Disclosure and Consent (Required from both partners)
Intake (Required from both partners)
TeleHealth Consent or COVID-19 In-Person Consent (required from both partners, according to how you are receiving services)
Release of Information (only when counselor requests)
Credit Card Authorization (Required)
Forms for Boundaries of Steel Group with Traci Hart
Group Agreement (Required)
Surprise Billing Disclosure (Required)
TeleHealth or COVID-19 In-Person Consent (Required according to how you are receiving services)
Release of Information (Required to allow coordination of care with your individual therapist)
Forms for Teen Group with April Eavers
Group Agreement (Required)
Surprise Billing Disclosure (Required)
TeleHealth or COVID-19 In-Person Consent (Required according to how you are receiving services)
Forms for Boundaries of Steel Group with Jenn Bourdeon
Group Agreement (Required)
Surprise Billing Disclosure (Required)
TeleHealth or COVID-19 In-Person Consent (Required according to how you are receiving services)
Release of Information (Required to allow for coordination of care with your individual therapist)
Forms for Individual Counseling – Medicaid Members
Disclosure and Consent (Required)
Intake (Required)
Medicaid Member Rights (Required)
TeleHealth Consent or COVID-19 In-Person Consent (required according to how you are receiving services)
Release of Information (only when counselor requests)
Credit Card Authorization (Required)
Mental Health Assessments
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