BOOK ONLINE NEW CLIENTS

2 - SET APPOINTMENT

Find a date and time to see the counselor of your preference. As part of your booking process, you will have the option to prepay for your session. If you decide not to prepay, you will need to add the "Card on file authorization" to the documents required to complete before your session.

1 - FILL YOUR FORMS

As part of the intake process for first-time clients, we need you to fill a few forms.

For adults and couples (one form per each spouse): 

1. Intake form for adults

2. Informed consent form

3. Hippa form

4. Online therapy consent form (for online therapy)

5. Card on file authorization (if you choose not to prepay for your session, you will have to download and send this form filled to )

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For children:

1. Intake form for children

2. Informed consent form

3. Parental consent

4. Hippa form

5. Online therapy consent form (for online therapy)

6. Card on file authorization (if you did not prepaid for your session, you will have to download and send the form filled to )

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Your appointment will not be confirmed until we receive the required documents. 

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For questions or information, contact admin@shalomcounseling.org

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