Client Information

All clients please download and complete the one-page, Client Information Form

Informed Consent

All clients please download and carefully read the eight-page Informed Consent, complete it, and bring it to your first counseling session. This is a legal contract.

Credit Card Authorization

 

All clients please download and complete a Credit Card Form to keep on file for unpaid charges.

Forms

The following forms should be downloaded and completed prior to the first session or you should plan to arrive one hour in advance to complete all paperwork:

Minor Child Informed
Consent

All clients please download and carefully read the eight-page Informed Consent, complete it, and bring it to your first counseling session. This is a legal contract.

Minor Child Information

 

All clients please download and complete the one-page, Client Information Form

To set up an

 

APPOINTMENT

 

Call or email

Adult and Teen Assessment

Please answer each question to the best of your ability. If you are completing this assessment for your minor child, please give it to him/her to add to in privacy as you have completed your information.

Sexual Addiction Assessment

 

Please complete the SA assessment to determine if you might be struggling with a sexual addiction.

To schedule an appointment

or

for more information

Call: (210)789-7683

Find us: 

540 Madison Oak, Suite 340

San Antonio, TX 78258 

© 2013 by Northside Family Counseling Center. Proudly created with Wix.com

This site was designed with the
.com
website builder. Create your website today.
Start Now