Client Forms
Click on the name of the counselor to see the list of forms.
Click on the icons to view or download a copy of these forms.
| Download PDF | Online Form | |
|---|---|---|
| Registration & Insurance Information |  |  |
| Download PDF | Online Form | |
|---|---|---|
| Registration & Insurance Information | | |
| Client Assessment | | |
| Consent for Treatment | | |
| Fees Sliding Scale for Individuals | | |
| Fees Sliding Scale for Couples & Families | |
| Download PDF | Online Form | |
|---|---|---|
| Forms for Dianne Fisher-Griffin | ||
| Registration & Insurance Information | | |
| Client Assessment | | |
| Consent for Treatment | | |
| Consent to Release Information | | |
| Fees Sliding Scale for Individuals | | |
| Fees Sliding Scale for Couples & Families | | |
| Download PDF | Online Form | |
|---|---|---|
| Registration & Insurance Information | ![](https://ephesians.org/wp-content/uploads/images/icons/pdf-icon-png-2058.png"){kind=icon} | |
| Client Assessment | | |
| Client Assessment – Spanish | | |
| Consent for Treatment | | |
| Consent for Treatment – Spanish | | |
| Teletherapy Agreement & Informed Consent | | |
| Consent to Release Information | | |
| Fees Sliding Scale for Individuals | | |
| Fees Sliding Scale for Couples | |