Forms
English
Informed Consent Form
This is the form that needs to be read and signed before your first counseling session.
Confidential Intake Form
This will include personal information, such as your reason for seeking counseling and any counseling history you may have. This form, once completed, will only be read by your counselor.
Reduced Fee Application
If you ever feel the need for a reduced fee for your sessions at FCC, we are ready and willing to help. Please fill out this application and give it to the Front Desk.
Español:
Consentimiento Informado Para Consejería
Este es el formulario que debe leerse y firmarse antes de su primera sesión de asesoramiento.
Formulario Confidencial de Admisión
Esto incluirá información personal, como su razón para buscar asesoramiento y cualquier historial de asesoramiento que tienes. Este formulario, una vez completado, solo será leído por su consejero.
Solicitud de Reducción de Cargos
Si alguna vez siente la necesidad de una tarifa reducida para sus sesiones en FCC, estamos listos y dispuestos a ayudarte. Complete esta solicitud y entréguesela a su consejero.
Fees & Insurance
Our self-pay rate is $100 per session. Each therapist does also have a limited number of spots for Reduced Fee Clients (see application above) and we will work with you if at any time you are unable to pay your fee. We never want finances to be the reason you are unable to see your counselor. Give us a call, or click the green button at the top of your page, should you have any questions.
Additionally, we do accept some insurances. Click here to see the list of insurances each clinician can accept.
