Haydon-Davis Counseling, Inc.
Adult Forms
For Individual or Couples Therapy and if the patient is 18 years old or older.
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Individuals, please complete both forms below.
Couples, please complete one copy of the Registration forms and a Life History Questionnaire for each individual.
When you click on the underlined links, they will open in a new window so you can print out the forms. Then you will need to fill in the forms in by hand.
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Please bring completed forms to your first appointment.
Forms
- Registration & Consent Forms
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Please print and complete all of these forms for your first appointment.
- Life History Questionnaire
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Each person participating in treatment needs to complete this form.
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The forms on this site require Adobe Reader which can be downloaded for free at http://get.adobe.com/reader/.