Clinical Intake Forms

1) Consent forms. These include an "Informed Consent and Authorization for Services," form which is a summary of important information about Cobb Counselling & Consulting. It answers many common questions about confidentiality, fees, and frequency of visits. There is also a "Consent to be Contacted" form which allows you to define how you would like to be contacted by Cobb Counselling & Consulting in the future.

2) An intake questionnaire. The purpose of this questionnaire is to aid assessment and treatment planning by giving me a broad overview of your background and current situation at a glance. All information you provide in this form will be kept as part of your confidential file.

It should take about 10 minutes to complete these forms. So that we can spend your session time focusing on your concerns and not paperwork, I prefer to have you fill them out ahead of time, before the start of the first session.

Clicking on a link below will open a PDF version of these forms in a separate window. Then you can print the forms directly to your printer, complete them at home, and bring them with you to the first appointment.