Forms

Compass Counseling Forms for Download

Child/Adolescent Clients Need to Complete:

  • Personal History - Child Personal History - Child (PDF)
  • Outpatient Consent and Acknowledgement Outpatient Consent and Acknowledgement (PDF)
  • Insurance Information Client Insurance Information (PDF)

  • Adult Clients Need to Complete:

  • Personal History Personal History (PDF)
  • Outpatient Consent and Acknowledgement Outpatient Consent and Acknowledgement (PDF)
  • Insurance Information Client Insurance Information (PDF)
  • Additional Forms for Counseling Services:

  • Privacy Notice (PDF)
  • Non-Discrimination Notice (PDF)
  • Client Rights (PDF)
  • General Release of Information (PDF)
  • Disclosure to Exchange Records with Physician (PDF)