Forms

Forms & Client Information

Thanks so much for visiting Jana Briggs Counseling!
Here is some information and the documents needed before our session.

Disclosure Statement, Privacy Information (HIPAA) & Intake Forms are below.

Disclosure Statement, Privacy Information

Click here to download and print Form:

 

Adult Intake Form

Click here to download and print Form:

 

Adolescent Intake Form

Click here to download and print Form:

 

Child Intake Form

Click here to download and print Form:

 

Consent to Treat a Minor

Click here to download and print Form:

 

Client Consent to Contact

Click here to download and print Form:

 

After you read and print the forms, please fill out and sign them. Retain copies for your records. Either bring the completed and signed forms with you to your first visit or fax them to (303) 993-4770.