We have provided our forms online, for your convenience. You may download, print, and fill out the following forms prior to your counseling visit. Each person will need to complete the Information Paperwork separately, but the disclosure is per couple/family:
New Client(s) Information Paperwork (for all counseling except pre-marital counseling)
DOWNLOAD: New Client Information Form (481KB/.pdf)
Pre-Marital Information Paperwork (specifically for Pre-marital counseling sessions)
DOWNLOAD: Pre-marital Information Form (435 kB/.pdf)
Our RCC Disclosure Forms
Read our counseling disclosure ahead of time! In this document you will find information about us as counselors, and as a counseling agency.
We will talk through our disclosure with you at your initial session and you can sign it then. Bring your questions to the first session, and we’ll gladly answer them. If you wish you may download the most current disclosure forms here.
DOWNLOAD general: RCC Confidentiality and Disclosure Form (373Kb/.pdf)
DOWNLOAD General with Premarital packages included: RCC Confidentiality and Disclosure form for PreMarital Clients
HIPAA (Health Insurance Portability and Accountability Act) DISCLOSURE
You will sign a document indicating you have received the information or a copy of the HIPAA: Find your copy here. DOWNLOAD: NOTICE OF PRIVACY PRACTICES June 2017 (644KB/.pdf)
