Forms

In order to save time at your initial appointment, please click on the appropriate forms below, print, then fill them out and bring with you to your appointment.  If we are conducting our session by telephone or Skype, please email the completed forms to forrest@LifeWorksWithEFT.com or mail them to:

Forrest Samnik, LCSW
971 Virginia Ave., Ste E
Palm Harbor, FL  34683

1. Individual Adult Client
1. Adult Intake Form
2. Treatment Contract
   
   
2. Couples  Counseling
1. New Couples Form
2. Counseling Couples
3. Treatment Contract
   
   
3. Child Under 12 years of age
1. Child Intake Form
2. Consent for Counseling for Minor
3. Treatment Contract
   
   
4. Adolescent  age 12 – 17
1. Adolescent Intake Form
2. Consent for Counseling for Minor
3. Parental Agreement for Confidentiality
4. Treatment Contract

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