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PARKER COUNSELING AND EDUCATION SERVICES
Where Change Happens

 

New Client Forms

Attention New Clients:
Please fill out these forms and email, fax, or bring to your initial visit.
This will allow our therapists to spend more time with you and less on paperwork!

HIPAA Privacy Notice

Initial Information Form

The Initial Information Form is a fillable pdf. Open with Adobe reader and you can fill out on your computer, save the file and then email, fax, or simply print and fill out paper.
All Parker Counseling email accounts use opportunistic TLS encryption to protect your email during transit.
Check with your email provider if you are not sure that your email provider supports TLS encryption.
The free Adobe Reader can be downloaded here:
https://get.adobe.com/reader/