Intake & Other Helpful Forms To Save Time

If you are new to Spirit of Hope Counseling Center, we will need some important information from you. Depending on the type of counseling you are looking for, please connect with the links below to print the forms. This is a great time-saver and the completed forms can be done prior to your first appointment. So bring the forms with you. If you have any questions about completing the forms, simply complete what you can and your therapist will be glad to help you.

JUST CLICK ON THE NAME OF THE FORMS TO LINK

• Individual Intake Forms - Use these forms if you are coming in alone for counseling.

• Couple's Intake Forms - Use these forms if you are coming in as a couple for counseling.

• Adolescent Intake Forms - These forms are for adolescents ages 12 - 18 coming in for counseling.

• Premarital Couple's Forms - Use these forms if you are coming in for counseling prior to marriage.

• Release of Confidential Information Form - Information cannot be shared with others without your written approval. You may use this form to indicate with whom you would like your therapist to talk to coordinate care (i.e., doctor, psychiatrist, previous therapist, etc). You may fax this directly to your counselor at 952.545.6312.

These are great forms to use for your own information.

• Time-Out Routine for Conflict - For anyone struggling with conflict, here is a great resource for rules to set to lower conflict.

• Chemical Assessment Questionnaire - helping to determine whether chemicals are an issue for you. Complete as honestly as possible and bring your responses to your first session.

Note: To download Adobe Acrobat Reader for free, click here.