If you are coming to your first counseling appointment, please review and complete
the following forms, and bring them with you: professional disclosure
statement, consent for treatment form, no show policy, and the new
client information form. You only need to complete the authorization for
release of information if you want me to be able to speak with someone else about
your treatment. Parents of clients under age 18 should complete the supplemental
form for adolescent clients as well. I look forward to meeting with you.
New Client Registration Form
Consent for Treatment Form -Adult
Consent for Treatment - Adolescent
Professional Disclosure Statement
Authorization for Release of Information
No Show Policy
Supplemental Form for Adolescent Client
|Alicia McArthur, Licensed Professional Counselor -Content copyright 2013, all rights reserved.
Serving Charlotte - Matthews- Waxhaw - Indian Trail - Stallings - Union County, North Carolina
Call 704-989-9690 to schedule a therapy appointment.