Living Life in Balance

Helpful Forms

People travel to wonder at the sea and the stars and pass by themselves without wonderment.

--- Augustine          

            

If you are a first-time client, please print and fill out the below forms and bring them with you to the session.  If you are seeking couples counseling, each of you should print and fill out your own set of forms and bring them with you to the session.  There will be a few additional forms to fill out at my office. 

Forms:

Please read the HIPPA form first, then print and sign the Consent for Treatment Form acknowledging that you have read and understand HIPPA (confidentiality and privacy information).


Read:

HIPPA
 



Print and Sign:

Print, sign and bring with you to the first session the forms below.  If you are a couple, each of you should fill out your own set of forms. 

Consent for Treatment




​Client Registration




​Consent to Communicate via Email 




​Client Intake Form






   Counseling  for Individuals & Couples

       Pamela Raymond, MA, RN, LPC

 Pamela Raymond, RN, LPC

166 East Chestnut Street

Asheville, NC  28801


828-298-2555


​pam@pamraymond.com




Copyright ©​​ 2014 Pam Raymond.

All rights reserved.