Intake Forms for
Adults 

Let's get the paperwork out of the way...
All of the adult intake forms can be downloaded from this page.
Please click on each link below, print out the corresponding intake form, complete the first two forms,
and then bring them with you to your first appointment.
First, click on the following link for the Adult Intake
Form:
Adult Intake
Form - Click Here
Second, click on the following link for the Consent to
Treatment Form
Consent for Treatment Form - Click Here
Third, read the LifeLine Counseling Policies and
Procedures. This document provides you with important information about our practice and service to you. It does
not need to be printed out or signed.
LifeLine
Counseling Policies and Procedures
Finally, read the HIPAA notice regarding your rights to privacy
under state and federal law. This document is provided to you in accordance with the law. It does
not need to be printed out or signed.
HIPAA
Notice
Done? Please remember to bring the Intake and Consent for Treatment Forms to your first
appointment.
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