Forms

Forms


Strongest Self forms: If you are a first-time client, please review and complete the “New client forms” and return them before your first session. For couples, each partner should complete the “New client forms.” New client forms include:

  1. Consent to Treatment & Notice of Privacy Policy
  2. Consent to Virtual Therapy/Telehealth
  3. Consent to Electronic Communication
  4. Demographics
  5. Good Faith Estimate

The “Release of Information” form is optional. Please complete the Release of Information form if you would like to give permission for your clinician to communicate/exchange information with a person or agency outside of your therapy sessions.

We look forward to meeting you!



Consent to Treatment & Notice of Privacy Policy

(New Client Form)



Download

Demographics

(New Client Form)



Download

Electronic Communication

(New Client Form)



Download

Release of Information

 (optional )



Download

Telehealth/Virtual Therapy Consent

(Required for telehealth/virtual therapy)



Download

Good Faith Estimate



Download


Strongest Self Therapy
123 S. Broad St
Philadelphia, PA 19109


Council For Relationships
171 W Lancaster Ave
Paoli, PA 19301


Council For Relationships
1800 JFK Blvd
Philadelphia, PA 19103


Strongest Self Therapy
350 S Main St, Suite 306
Doylestown, PA 18901


Strongest Self Therapy

New Jersey


Strongest Self Therapy

Pennsylvania