Phone: 248 626-1500
6960 Orchard Lake Rd., Suite 240
West Bloomfield, MI 48322
Directions
-
Email us
Welcome
Services
Adult and Family Counseling
Individual Therapy
Anxiety and Depression
Marriage Counseling
Child and Adolescent Therapy
Substance Abuse
Employee Assistance
Psychological Testing
Gay, Lesbian and Transgender
Counseling
Coaching
Meet the Staff
New Clients
Insurance
FAQ
Forms
Contact Us
Existing Patients
Service Inquiries
Careers
Forms for New Clients From West Bloomfield Best Therapist, Counseling Associates
IMPORTANT: ALL PAGES MUST BE PRINTED OUT AFTER COMPLETION. THEY DO NOT GET AUTOMATICALLY SENT TO COUNSELING ASSOCIATES.
New Patient Paperwork
All forms must be filled out and turned in prior to beginning of treatment.
Consent for Treatment
Coordination of Care form
Face Sheet
Fee Agreement
HIPAA form and rights
Additional Paperwork
Authorization to Release/Obtain Information
Child History Questionnaire
General Forms
Feedback Form
Promoting Accessibility and the Removal of Barriers
For more information please call 248 626-1500 or
click here
Pay Online!
Pay Online
Client Name
Please enter a description
Amount
USD
Please enter a price
Please enter an Invoice ID
Adult and Family Counseling
Individual Therapy
Anxiety and Depression
Marriage Counseling
Child and Adolescent Therapy
Substance Abuse
Employee Assistance
Psychological Testing
Gay, Lesbian and Transgender
Counseling
Coaching
Pay Online!
Affiliations
(Logo used with permission)
Contact Information
Phone:
248 626-1500
Fax:
248-626-1551
Contact Us