Core Counseling and Coaching
   Core Counseling and Coaching                                                                                                       

Client Forms

New clients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Psycho-Social History
Contains essential patient information as it relates to treatment. Includes personal information, medical history and an emergency contact number.
Psychosocial History-Core word97.doc
Microsoft Word document [48.5 KB]
Informed Consent
Informed Consent-CCC.doc
Microsoft Word document [47.0 KB]
Insurance Authorization
Insurance Authorization form.docx
Microsoft Word document [12.7 KB]
Insurance Assignment of Benefits
Insurance assignment of benefits.docx
Microsoft Word document [12.5 KB]
Coaching Session Prep Form
This will be filled out each week in order to help me prepare for our coaching session. This will also give you an opportunity to reflect on the week and look toward the next
Coaching Prep Form 1a.doc
Microsoft Word document [32.5 KB]

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Where to Find Us:

Core Counseling and Coaching, LLC

1751 South Lumpkin Street

Athens, Georgia 30606 

  

Phone: 706-725-9255

Client Forms

New client? Save time and reduce the amount of paperwork you have to fill out at your first visit. We provide several client forms as PDF downloads or Word documents on our site.

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