Colleen Adarhormazd, LPC - Licensed Professional Counselor
Forms 
You will need to print 2 forms-
The PDS/Consent Form and
The Assessment Form, based on the client's age.

Please print the forms, fill them in & bring them to the first appointment if we are meeting in the office or email or fax them to me if we are meeting over the phone.
 
 
PDS/Consent (Professional Disclosure Statement):
PDS contract1.pdf (PDF — 180 KB)
 
 
 

Assessment Forms:
 
Child (2 - 12 years old)
Child Assessment2.pdf (PDF — 104 KB)
 
 


Teen (13-18 years old)
Teen Assessment.pdf (PDF — 83 KB)
 
 
   

Adult (19+ years old, or 18 & out of high school)
Adult assessment2.pdf (PDF — 59 KB)
 
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