The Family Connection LLC
Helpful Forms

ALL New Patients:
If you're a new client, 18 years and older, please complete the following forms and bring them to your first therapy session.

New Patients seeking Couples Counseling:
If you are a new patient seeking couples counseling, each partner will need to complete this form individually and bring it to your appointment.  Please do not share your answer!  Please print 2 packets, one per person!

New Patients Under the age of 12:
If you are a new patient with a child under the age of 12, please complete this form and bring it to your first appointment.

Additional Forms:
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information: