New Client Forms

Please download and complete all forms in the appropriate section below in advance of your first counseling appointment. These are provided for your convenience to complete at your leisure and from the comfort of your own home. If you are unable to complete them in advance, please arrive 30 minutes before your first appointment to allow time to do so in our lobby.

ADULT INDIVIDUAL COUNSELING
Momentum Mental Health Disclosure and Consent Form
Momentum Mental Health Individual Client Intake
Momentum Mental Health Credit Card and Cancellation Agreement
Consent to Contact Form

COUPLE COUNSELING
Momentum Mental Health Disclosure and Consent Form
Momentum Mental Health Couples Intake (one for each)
Momentum Mental Health Credit Card and Cancellation Agreement
Consent to Contact Form

ADOLESCENT’S COUNSELING
Momentum Mental Health Disclosure and Consent Form
Momentum Mental Health Simple Adolescent Intake
Momentum Mental Health Consent for Counseling Minors
Momentum Mental Health Credit Card and Cancellation Agreement
Consent to Contact Form

CHILDREN’S COUNSELING
Momentum Mental Health Disclosure and Consent Form
Momentum Mental Health Child Intake
Momentum Mental Health Consent for Counseling Minors
Momentum Mental Health Credit Card and Cancellation Agreement
Consent to Contact Form

GROUPS
Momentum Mental Health Disclosure and Consent Form
Consent to Contact Form