Clinical Mental Health Counseling for Adolescents and Adults
Serving Aledo, Weatherford, Fort Worth and surrounding areas
Please print each complete form, read through and have all your paperwork completed to bring to your first session. If you have any questions, we will address them at that time.
If you are having trouble printing the forms, please contact me and I will email or fax you the paperwork.
There are 7 forms in total that you will need to bring with you. My sincere apologies for the volume of paperwork. Best practice as well as current laws and regulations require much of this documentation be provided. Choose either the adult or child checklist based on the age of the client.
If the client is under the age of 18, I request signatures from both parents authorizing treatment and both parents present at the initial session [child NOT present]. If the child is not living with both biological parents, I will need a copy of the most recent court custody documents and request an individual session with each parent prior to beginning work with the child if at all possible. Children under the age of 18 can consent for their own treatment under specific circumstances. Please contact the office for more information.
All forms are in PDF format. If you need a different format, please contact my office. 817-441-9973.
Release of Information is needed for me to be able to communicate with members of your treatment team [doctor, dietitian or psychiatrist etc.] It is also used to communicate with family members, treatment facilities, schools and in the case of marital or pre-marital work, each member of the couple completes a release listing their partner as someone with whom I can share information. If there is no one you wish to share information with, you do not need to complete this form prior to session.
A release is also required if someone else is paying for treatment so that billing questions or problems may be discussed with the payor.
If the patient is a child, both parents and the child may fill out their own child checklists about the issues concerning the child.
Sharon L. Ward, MS, LPC, NCC
Clinical Mental Health Counseling for Adolescents and AdultsServing Aledo, Weatherford, Fort Worth and surrounding areas