Intake/Release Forms Client History Bring this to the first session with your counselor. This will give your counselor have a brief overview of your concerns. Personal Information Fill this out prior to your first visit. Be sure to read both pages carefully, fill them out completely, and sign. Release of Information If we need to coordinate treatment with another medical care provider, we’ll need your written permission.
5326 Main St. Suite F, Spring Hill, TN 37174 • 615-483-7007