FORMS & FLYERS

Click on the forms below to open the PDF file. Please bring these forms with you to your first session. Intake packages for providers to complete with referral clients are also available in English and Spanish. Please reach out to us to receive one. 

Remember to never send personal and confidential information over the internet (e-mails, etc.) since it is not a secure form of communication. 

FORMS IN ENGLISH (click on each form to access it)

Intake Screening Form- English

Informed Consent- English

HIPAA Privacy Notice- English

FORMULARIOS EN ESPAÑOL (FORMS IN SPANISH)

Formulario de Admisión- Español (Intake Screening Form)

Consentimiento Informado-Español (Consent Form)

Notificacion de Privacidad- Español (Privacy Notice)

RELEASE OF INFORMATION (ENGLISH ONLY)

Authorization to Obtain and Release Information

FLYERS (VOLANTES)

General Flyer- Multicolor Counseling and Consultation, LLC

Volante de Servicios en Español