FORMS & DISCLOSURES
Prior to your scheduled appointment please complete the appropriate paperwork found below. The counselor’s professional disclosure will also be provided when setting up your appointment. We ask that you bring these necessary forms and your insurance card to your scheduled in-person appointment or email for telehealth sessions. Contact administrative staff for email instructions. If emailing, the forms and insurance card must be submitted 24 hours before the appointment.
please note :
All NO-SHOW and late cancellation appointments will be billed at the full rate. These fees are not billable to your insurance company. Fees must be paid before your appointment can be rescheduled.
Triad Counseling and Clinical Services requires a credit card on file in order to schedule an initial appointment.
- Click the Download button of the form to be filled out. Download and save the file to your device.
- Open the file in Adobe Acrobat or a pdf viewer program. Fill out the fields with your information and digitally sign the form.
- Once you’ve completed all fillable fields, click ‘File’ > ‘Save As’ in the navigation.
- Add your first and last name to the file name. Click Save.
