Motivations Counseling – Client Forms

New Clients:

Please complete the following "New Client Forms" packet and bring it with you to your first therapy session:

New Client Forms

For Children/Teens:

Please complete the following "Child Intake Form" and bring it with you for your child's first therapy session. You do NOT need to fill out the "Adult Intake Form" portion of the "New Client Form" packet:

Child Intake Form

Existing Clients:

If you need us to release your therapy/treatment information to a third party, please complete the following form authorizing us to do so:

Authorization to Release Information


Please print and fill out the required forms.  Bring them with you to your next scheduled appointment or scan and email them to the following address:

Note: To download Adobe Acrobat Reader for free, click here.