Collaborative Change

This form provides an overview of all the pertinent information for client's of Collaborative Change as well as crisis phone numbers.

This is the comprehensive release form that all client's must sign at intake. This provides information regarding grievance policy, fees, crisis lines, how to access files and fees.

If any client want's to involve a familly member, referral source or community agency in service or to coordinate care a release of information must be obtained by the therapist.

All parents/guardian must sign this consent to treat at intake in order for us to be able to provide therapy services to minors.

Child Intake Form must be completed prior to or at intake assessment with your therapist.

This is a brief checklist to give family history that must be completed at or before intake assessment with your therapist

Adult Client's must sign this form at intake consenting to treatment.

Adult Intake Form must be completed prior to or at intake assessment with your therapist.

​This is a brief checklist to give family history that must be completed at or before intake assessment with your therapist.

For all of our client's participating in Wraparound Services we must obtain a comprehensive release to protect confidentiality. 

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