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LOTUS COUNSELINGCENTER

Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake 
  • Confidentiality/Cancellation Policy 
  • Consent to Evaluation and Treatment
  • Credit Card Authorization Form

 

If you would like us to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

  • Consent to Release Information Form

Client Intake Form  
Confidentiality and Cancellation Policy  
 Consent to Evaluation and Treatment  
   Credit Card Authorization Form  
Consent to Release Information  

Explanation of the Insurance Billing Process

 






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Helpful Forms

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