Client Forms

Please use the links below to download the appropriate forms so that they can be filled out ahead of your Initial Intake appointment.

If your information has changed, please download and complete a new packet and bring it to your next appointment.

All individuals served at Lighthouse Counseling Services must fill out the appropriate packet from below:

Minor Intake Packet
Adult Intake Packet

Additionally, all clients will need to download and/or complete the following:

Clinic Information / Office Policy
Consent to Treatment
HIPPA Form
Payment Contract
Privacy Practices

This form may be necessary if you wish us to speak with other parties or professionals about your care:

Release of Information

If you and your therapist will be utilizing Tele-Therapy services, please download and complete the Tele-Therapy Consent form prior to your first virtual appointment.

Lighthouse Counseling Services, LLC

Counseling: A Guiding Light Through the Storms of Life

Client Forms

Downloads