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

Reimbursement Agreement

An agreement clarifying the rates for therapy services provided.

Reimbursement Agreement

Therapist / Client Agreement

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

Therapist Client Agreement

Consent for Treatment

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

Consent for treatment

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

Reach out to us today to begin a new journey to embrace wellness and meet the challenges ahead.
(860)740-2228