Relationship, Family, Mental Health & Addiction Counseling — Wasilla & Palmer, AK

(907) 795-3860

Getting Started

Client Forms

Before your first appointment, you'll need to complete a few standard forms. Contact us and we'll make sure you have everything you need.

To request forms, please contact Changing Seasons Counseling directly. We'll send you the appropriate paperwork based on the services you're seeking.

How to Get Your Forms

Getting your paperwork completed is simple. Here's what to expect.

01

Contact Us

Call or email us to request the forms relevant to your situation. We'll let you know exactly which ones you need.

02

Receive Your Forms

We'll send your forms electronically or have them ready for you to complete before your first appointment.

03

Complete & Return

Return completed forms before your first session so we can make the most of your appointment time.

Standard Client Forms

Depending on your services, some or all of the following may be required.

New Clients

New Client Intake Form

Provides basic demographic information, emergency contacts, and a summary of what brings you to counseling. Completed before your first session.

Informed Consent for Treatment

Outlines the nature of counseling services, your rights as a client, confidentiality policies, and the limits of confidentiality.

Insurance & Billing Authorization

Authorizes Changing Seasons Counseling to bill your insurance provider directly on your behalf for services rendered.

HIPAA Privacy Notice & Acknowledgment

Explains how your personal health information is used and protected in accordance with federal HIPAA regulations.

Ongoing Care

Release of Information

Allows Changing Seasons to communicate with other providers, schools, or individuals involved in your care — only with your written permission.

Couples / Family Therapy Agreement

Specific consent form for couples and family therapy that addresses confidentiality between multiple clients seen together.

Substance Therapy

Substance Abuse Assessment Form

Used during the initial substance abuse evaluation to gather a comprehensive history and determine appropriate level of care.

Your Privacy is Protected

All forms and personal information are handled in strict accordance with HIPAA privacy regulations. Your information is never shared without your written consent, except as required by law.

Ready to Get Started?

Contact us today and we'll walk you through the paperwork and get your first appointment scheduled.