Jemese LaChel LCSW - Christian Trauma Therapist and Mentor
Client Forms

Client Forms

Individual Counseling Client Forms

As we begin our work together, there's quite a few formalities that need to be taken care of up front, primarily meaning tons of forms!

(I know it, I hate paperwork too but I promise once this part is done we can get on to the best part--helping you feel better & working through your current challenges).  

To expedite the process, you're more than welcome to print these forms, complete them in advance, and bring them with you to your first appointment.  


Intake Form

Informed Consent for Services

Notice of Privacy Policy

Social Media & Electronic Use Policy

Release of Information Form (Blank)

Release of Information Form for Spectrum Healthcare (For Spectrum Healthcare / Rain Clients Only)

Release of Information Form for HSI (For Spectrum Healthcare / Rain Clients Only)