Counseling Forms

To save time on your first visit, please print out and complete the Adult Intake Form and the Informed Consent and Teletherapy Consent Form.  These forms can also be sent digitally by e-mail to the therapist you are seeing or  or fax to 901-305-6902.

Adult Intake Form Needed for all sessions.

Informed Consent Needed for all clients.

Teletherapy Consent Form Needed if telehealth is utilized. 

Release of Information Only needed to communicate with current or previous therapists, doctors or other professionals.

Credit Card Authorization Form  Needed for all clients to cover session expenses and any Missed Appointment fees.