Client Downloads

*Please complete the new client paperwork for each individual attending therapy and e-mail (info@chariscounselingcenter.com) or fax (407.894.5620) the completed documentation to our office before your first scheduled visit. 

» New Client Form

You many download this form, fill it out at home, and bring it with you to your first appointment.

» New Child / Adolescent Client Form

Please download and complete this form when the client is under the age of 18.

» Client Information Update Form

Use this form to help us keep our records updated with your current contact and billing information. Completed forms may be mailed, faxed, or dropped off in person.

» Release of Information

Due to confidentiality contraints, we cannot communicate with anyone about client information (even to acknowledge we are seeing a client) without the consent of the client (or parent/guardian of a client). Use this form to provide consent for your counselor to provide any information to a third party.

These forms are provided in PDF format and require the free Adobe Reader