Outpatient Counseling
Please call to make an appointment. For a list of locations,
click here.
For your convenience, if you have already scheduled your
first session with one of our Rapha counselors, we would like
to invite you to download and print your new client
paperwork from this web site. All necessary forms
are provided in .pdf format (Adobe Acrobat). After you have
printed the appropriate forms, please fill them out and bring
them to the office with you at the time of your first session.
For Adults:
Personal Data/Insurance
Consent Form
Consent for
Release of Information (needed only if RCC will need to
exchange information with other person(s) or organizations
such as Referent, Physician, Psychologist, School, etc.)
For Minors:
Personal
Data/Insurance Consent Form
Release
Form for Counseling a Minor
Consent for
Release of Information (needed only if RCC will need to
exchange information with other person(s) or organizations
such as Referent, Physician, Psychologist, School, etc.)
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