Counseling and Mediation Solutions LLC

Thank you for providing the following information. Please download and print necessary documents and bring them with you to your first visit.  We look forward to meeting you!

Contact Information

Informed Consent 

Informed Consent Form

Child Intake Form

Electronic Communication and Billing Communication

Adult Intake 

Adult Intake Form

 Health Privacy Information 

Adobe PDF Documents can be downloaded and completed on your computer then printed. 

Release of Information