If you are visiting Capital Counseling for the first time, there is information we’ll need to gather from you and disclosures you’ll be asked to read and acknowledge. You can save time at our offices by reviewing and completing these forms in advance of your initial visit.

Read and Review

These important forms explain your rights and terms you should be aware of. Please read them carefully. These are for you to keep – you do not need to bring them with you.

HIPPA Statement and Notice of Privacy Practices
Statement of Understanding and Terms of Service

Required for your visit

You will be required to complete the Client Information form and one of the following Intake forms before your first session. Completing these forms in advance of your visit and bringing them with you will save you time at our offices.  For the Intake form, please select the form that corresponds to the type of counseling you are seeking.

2014- Client Information Form (Required)

Please select the appropriate intake form:

Adult Individual Counseling
Youth Individual Counseling
Couples Counseling
Family Counseling