Counseling Forms
To save time on your first visit, please print out and complete the forms below to bring to your first appointment. These forms can also be sent digitally by e-mail to the therapist you are seeing
keith@bartlettchristiancounseling.com
landon@bartlettchristiancounseling.com
jeremy@bartlettchristiancounseling.com
flora@bartlettchristiancounseling.com
or fax to 901-305-6902.
New Client Forms
Adult Intake Form Needed for all sessions.
Informed Consent Needed for all clients.
Teletherapy Consent Form Needed if telehealth is utilized.
Credit Card Authorization Form Needed for all clients to cover session expenses and any Missed Appointment fees.
The Release of Information, found below, is only needed if you need us to communicate with current or previous therapists, doctors or other professionals.