Client Forms

Please download and complete the forms, below. The requested information will only be shared with appropriate staff, and will help us in our assessment. Once you have completed the forms, please email them to info@innerpeacecounselors.com and include “Client Documents” as the subject line.

Intake Form

Consent to Treatment

Consent to Release Information for Treatment, Payment, and Healthcare Operations (For clients using insurance, only)

Policies and Procedures

Client’s Rights and Responsibilities

If you have not done so, please download Adobe Reader so that you can access the documents and complete them with signature. You can download it here.