New client forms are the first step to starting your journey with your counselor. They are an essential tool to give you information about your rights and responsibilities regarding counseling and share with your counselor vital information to get to know you.
We want to make this step as easy as possible. Below you will find an accessible e-sign version of each of our forms. Please complete all forms and consents that apply for each counseling participant. When you finish, we will input your paperwork into your chart. No scanning, faxing, or emailing is required. However, if you prefer, a pen-on-paper PDF version is available for download at the very bottom for you to print and return.
If you have any questions about your paperwork or which ones you need, please call Lindsey at 432-557-1775
This form is required for individuals 18 years and older participating in individual counseling or couples counseling.
This form is required for children and adolescents participating in individual counseling or play therapy. Legal guardians must complete it.
This form allows Affinity providers and staff to communicate with any listed individual.
Use this form to update, make changes, or add new or secondary insurance.
Use this form to add a new credit, debit, or HSA card.
This form is required for anyone participating in online counseling that completed new client paperwork before October of 2021
This form is required for families participating in our preschool intervention package.
This informed consent provides additional information necessary for individuals being treated with EMDR.
This form is for guardians to complete at any time to help your child's counselor keep track of progress.
This form is for teens and guardians to complete together to help your counselor keep track of progress.
Please call or complete request to have one emailed to you.
Los formularios para nuevos clientes son el primer paso para comenzar su viaje con su consejero. Son una herramienta importante para brindarle información sobre sus derechos y responsabilidades con respecto a la consejería, así como para brindarle a su consejero información importante para que lo conozca.
Queremos que este paso sea lo más fácil posible, a continuación, encontrará una versión accesible de firma electrónica de cada uno de nuestros formularios (en Ingles), favor de completar todos los formularios y consentimientos que se aplican a cada participante de la consejería. Cuando haya terminado, podremos ingresar su documentación en su gráfico sin necesidad de escanear, enviar por fax o por correo electrónico. Sin embargo, si prefiere un bolígrafo en papel, la versión en PDF está disponible para descargar en la parte inferior para que pueda imprimir y devolver. Favor de notar que los documentos para descargar están en Ingles, pero si pueden estar disponibles en español.
Para recibir estos documentos en español, por favor mande un correo electrónico a Lindsey a info@affinitycounselingcenters.como si tiene alguna pregunta sobre su documentación o cuáles se aplican a usted y su familia, llame al 432-557-1775.
If you have issues with our e-sign forms or prefer to complete forms by hand, feel free to print forms here.
You can return forms by emailing them to info@affinitycounselingcenters.com or faxing them to 432-897-0966. If you would like to return them in person, please call ahead to ensure office staff is present.
Affinity Counseling
1030 Andrews Hwy Suite 108, Midland, TX 79701, US
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