Saint Louis Counseling Pre-registration Forms
For your convenience, our pre-registration forms are now electronically fillable from your computer. We ask that you complete, print and bring these forms with you to your first appointment.
Please Note: The intake forms are several pages. If you wish to have the ability to come back to filling out the form at a later date, please download the form to your computer, and the information you enter will be saved to your local computer.
Due to HIPAA privacy, please do not send any of these forms electronically to our office. You MUST print from your personal computer and bring a paper copy with you to your first appointment.
Forms indicated with a “STAR” will be required at your first appointment.
Basic Info, Consent and Acknowledgement Forms
Only one of these two forms is required based on age of patient. If more than one person (i.e., family, spouse, partners, etc.) is seeking treatment, each person will need the appropriate form filled out.
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