Forms

Before your initial visit to Gold Circle Counseling LLC, there are forms to fill out. You can either download the editable forms below and open in adobe acrobat to read and edit, print them and fill them out by hand, or come into the office 20 minutes before your session is scheduled to begin to fill out the paperwork. Please bring your insurance card and information.

Download (pdf) Client Information
Download (pdf) Client Medical Information
Download (pdf) Client Policy
Download (pdf) Consent to Treatment
Download (pdf) Privacy Notice
Download (pdf) Release of Confidential Information
Download (pdf) Financial Policy & Billing Agreement-Therapist
Download (pdf) Financial Policy & Billing Agreement-Prescribers