New Client / Returning Client Paperwork (link)
The client must have an appointment first before submitting the intake/re-intake paperwork. Please select the intake paperwork that reflects the client's age or contact our office for assistance.
Adult Consent Forms
Clients are required to complete the general consent form prior to receiving services.
Minor Consent Forms
To be signed by legal guardian/parents for/with minors (0-17).
Telemental Health (TMH) Informed Consent
Holistic Elevation is offering Telemental Health (TMH) counseling services for clients, due to licensing restrictions. Information about Telemental Health is provided here, and for clients who desire to use the service, consent is required.
Authorization to Obtain/Disclose Information or Records
Use this form to authorize our office to release/request your confidential information or records to/from another person/organization.
Medication List Form
Clients are required to complete the Medication List form prior to receiving services.