Champagne Counseling, PLLC Forms
The following forms are needed to provide services to Champagne Counseling, PLLC clients.
The button links will take you to a secure website where you can fill, sign, and submit the form in an encrypted manner that meets HIPPA compliance.
Consent To Treat Form
The consent to treat form is required for the therapist to provide any services to any client.
Intake Form
The Intake treat form is to better help the therapist to provide any services to any client.
Release Of Information Form
The release of information form will be required if the client wants the therapist to be able to communicate about them to anyone.