Genesis Counseling Center
New Client Information and Resources

 

Please print and complete the applicable form(s) before your first office visit:

Required Paperwork
  1. Client Information Form
  2. Services Agreement
  3. Adult Information Form (adults)
  4. Child Information Form (children)

Optional Paperwork

  1. Detailed Release of Information
  2. General Release of Information

Tricare Only Form

  1. Tricare Referral Letter for LPC