Client Paperwork for
New Milford Counseling Center

Forms To Bring To Your First Counseling Session

Please print & fill out the below forms and bring them to your first session.  They will also be available in the waiting room if you would prefer to fill them out there.  In that case, please arrive early, as it is preferred they be completed prior to the first session.

Client Paperwork – Therapy

Client Information

Please fill out this form as completely as possible. It will help to use your first session more productively, and may help you clarify what your goals for therapy are. If you are unsure about any of the questions, please feel free to discuss. (For privacy reasons, please do not email this form).

Client Information

Therapist / Client Agreement

This document contains important information about our professional services and business policies.

Therapist Client Agreement

HIPPA Privacy Consent

As of April 14, 2003 this is a required form, which documents that you have read the Privacy Practices below.

HIPAA Privacy Consent

Consent for Treatment

This form states that you gives permission for New Milford Counseling Center to provide treatment.

Consent for treatment

Reimbursement Agreement

An agreement clarifying the rates for therapy services provided.

Reimbursement Agreement

Client Paperwork – Coaching

Client Information

A form reviewed at the beginning of the first coaching session. It will allow NMCC to understand how to assist you to the fullest extent.

Client Information (Coaching)

Coaching Agreement

This form explains expectations, what coaching is, fees and payment information.

Coaching Agreement

Coaching Privacy Agreement

Your privacy is very important to us. NMCC is committed to this privacy policy, in which we explain how we collect, use, communicate and disclose personal information.

Coaching Privacy Agreement

Reach out to us today to begin a new journey to embrace wellness and meet the challenges ahead.