Rasnic Counseling

Rebuild • Restore • Renew

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Forms for Initial Session

Prior to your first session at Rasnic Counseling, we need you to complete a few forms for our records.  If you are unable to download and complete these prior to your session, please plan to arrive 20 minutes early to fill out the necessary paperwork.

Please choose the appropriate category that applies to you, and then click on forms to download them in PDF format.

Category One:  Individual and Marital Counseling
*Adult Intake
*
Cancellation/no-show agreement
*
Rights and Responsibilities

Category Two:  Teen or Child Counseling
*Adolescent Intake (to be completed by child/teen)
*
Adult Intake (to be completed by parent)
*
Cancellation/no-show agreement
*
Consent for Counseling Minors (to be completed by parent for children ages 18 and younger)
*
Rights and Responsibilities

Category Three:  Group Counseling
*Adult Intake
*
Group Guidelines & Responsibilities
*
Rights and Responsibilities
*
Women's Group Brochure

If you have any problems downloading the forms, please contact us at deanna@rasniccounseling.com or at (972) 727-0044. 

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