child and family therapy

For families with children under the age of 18 years old, who are seeking therapy, you may complete the Family Client Application once instead of separate forms for each family member.

  • Each adult who will be participating in therapy must complete both forms in HelloSign with their full name and email address so the signed documents may be filed accordingly.

    • For families with minors, the legal custodians may do this without each person needing to log in.

  • Please answer all questions on the Client Application and electronically sign the document.

  • Please then review the Informed Consent and electronically sign the document.

    • For Families, all legal parents/custodians must sign this page and depending on the age of the minor(s) they too may sign it.

  • All legal custodial parents must also review and sign the Authorization for Treatment of a Minor.

You will have the opportunity to print these forms once they are signed, and you will receive them at the email address you provided. We look forward to hearing from you.

Family Client Application

Informed Consent

Authorization for Treatment of a Minor