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Please download, print, review, fill out, and sign the following forms before beginning counseling (as each form dictates). Doing this before your session will save you valuable counseling time, as well as help you learn about the counseling process at your own convenience.

To download these forms, simply double click (or right click--depending on your computer) the underlined links below, then open and print them out. The 4 forms are in .pdf-format. To open them, you will first need Adobe Acrobat Reader (or another .pdf reader) on your computer. If you do not already have a ,pdf reader on your computer, you may download Adobe Reader for free by double clicking the image below and following the instructions:

The first 2 forms (#1 and #2) are required for you to download, read, sign, and return me at our initial in-office counseling session. If you are not local and will be doing phone or Skype sessions with me, please scan these forms and email them to me at drgilchrist@yahoo.com. Form #3 is just information for your reference, and form #4 is only used on an as-needed basis (as explained below).

1) Client Information :

This form is for collecting information so I may contact you as needed, understand your presenting issues, and collect the needed information for your payment option.

2) Informed Consent :

This form only requires your signature and date after your review. It contains a description of the main terms, conditions, and process of our counseling work together. Basically signing this form means: 1) that you understand and agree to confidentiality and the limits to confidentiality for our therapy, and 2) that you agree to uphold to the terms of whatever payment method you choose as payment/reimbursement of our visits together.

3) Notice of Privacy Practices :

This form explains in detail the limitations of privacy and confidentiality regarding our discussions and records from our counseling. Federal law mandates that you are given this form in the beginning of our sessions together. This form is optional and is only used on an “as needed” basis:

4) Release of Information :

This form is what you fill out to legally grant permission for myself and another person or entity of your choosing to discuss or share information or records from our counseling process together. You only need to complete and return this form to me if there is another individual or entity that you wish for me to share your confidential information with. If you have no one you desire that I share your counseling information with, you do not need to worry about this form. Examples of those you may wish their confidential information shared with may include a spouse, parents, children, friend, lawyer, court officer, probation officer, teacher, etc.