Helpful Forms – WV

If you are a new client, please complete the packet that reflects the type of counseling you are seeking and bring with you to your first counseling session.

Patient Information Packet (Adult)
Patient Information Packet (Marriage)
Patient Information Packet (Child/Adolescent)

If you would like Christian Counseling Associates to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Release of Information Form

If you would like to pay your copay and other balances with a credit card, please complete this form and give it to your counselor at your next visit.

Credit Card Authorization Form
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