New Client Forms

These forms are available here for your convenience, to complete before your first session.
Please download the appropriate forms below, print, complete and bring with you to your first session.

New Client Questionnaire – Adult
New Client Questionnaire – Teen
New Client Questionnaire – Child
Insurance Questionnaire
Release of Information Form
Informed Consent Form
Notification of Privacy
​New Client Intake - Private Mediation & Co-parenting Counseling
Private Mediation Contract
​Private Mediation Fee Policy