Getting Started at CCH!

Here are the answers to some of the most common questions we get about the first appointment!

Thank you for taking an interest in the Counseling Center at Heritage! By completing these forms before your first appointment, it will save you time in our waiting room and maximize time with your therapist. In cases of joint legal custody, the consent form for a child (13 and under), must be completed by both parents. In cases of sole custody, the legal parent must bring a copy of the custody order.

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General Forms

Biographical Information Forms

Consent to Treatment

Financial Policy

Financial Policy – Private Pay

Cancellation Policy

Release of Information

Appointment Reminder

Custody Situation – If Applicable

Child Biographical Information (3 to 10 Years Old)

Adolescent Biographical Information (11 to 16 Years Old)

Adult Biographical Information (17+ Years Old)

Couples Questionnaire

 

 

 

Play Therapy Forms

Group Therapy Forms

Weekly Caregiver Report

Monthly Caregiver/Parent Consultation Form

Group Cancellation Policy

Group Weekly Caregiver Report