Compass Counseling Forms

Click here to access our Client Portal

Child/Adolescent Clients Need to Complete:

• Personal History: Child Personal History - Child (PDF)
• Insurance Information: Client Insurance Information (PDF)
• Fee Policy Acknowledgement (PDF)

Adult Clients Need to Complete:??????

• Personal History: Personal History (PDF)
• Insurance Information: Client Insurance Information (PDF)

Additional Forms for Counseling Services:

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