Client Forms
If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session or they can be emailed and signed electronically per request.
- Acknowledgment of Receipt of Notice of Privacy Practices
- Client-Counselor Agreement
- HIPAA Notice of Privacy Practices
- Insurance Consent Form Revised
- Nonsecure Transmission Cincinnati
If you feel that you would like to collaborate your session with another provider, simply fill out the following form.