Getting Started
New Client Forms
We're glad you're here. Please complete the forms below before your first appointment.
Before Your First Visit
To help us serve you better, we ask that all new clients complete the intake paperwork prior to their first session. These forms allow us to understand your needs, gather important background information, and ensure we are fully prepared to support you from day one. If you have any questions about the forms, please don't hesitate to reach out.
New Client Intake Form
General information about you or your child, including contact details, emergency contacts, and reason for seeking services.
Consent for Treatment
Authorization to provide counseling services, including your rights as a client and our practice policies.
HIPAA Privacy Notice & Acknowledgment
Information about how we protect your health information and your privacy rights under federal law.
Insurance & Billing Information
Details about your insurance coverage, including Medicaid, and any billing preferences or financial agreements.
Minor Client Authorization (if applicable)
For clients under 18, this form authorizes a parent or legal guardian to consent to treatment on behalf of the minor.
Release of Information
Allows us to communicate with DSS, other providers, schools, or individuals involved in your care — only if you choose to authorize it.
We Accept Medicaid
On Solid Grounds Counseling proudly accepts Medicaid. Please bring your insurance card to your first appointment or include your information in the billing form above.
Need Help With the Forms?
If you need assistance completing any of the forms, or if you'd prefer to fill them out in person at your first appointment, please contact us and we will be happy to help.
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