On Deck Counseling

Iris Kuykendall, LPC

                                                                     FORMS

Completion of the appropriate forms prior to your first appointment will allow the most efficient use of your time. The History Form is not needed when you complete the Biographical information on www.TherapyAppointment.com 

Please do not email the completed forms as your personal and confidential information may not remain confidential. Bring your completed forms to your first appointment.

Adults will need the Treatment Consent, Financial Policy, and Adult History forms. You may choose to skip portions of the Adult History as some questions may not apply to you.

Children will need the Treatment Consent, Financial Policy, Child History, and Agreement Regarding Minors forms. Additionally, any child with a Court Ordered Custodial Agreement should bring the custodial document to the first appointment.
                                                  

FORMS and NOTICES