Intake Forms

General information about you will be collected during your first appointment to help Southern Wake Counseling Center determine if we will be able to assist you. The appointment will take approximately 45 minutes and is completely confidential. Please complete and bring the following items with you to your first appointment:

The following forms are available in pdf formats. Please click the appropriate form(s) for printing.

1. Adolescent Intake Form
2. Adult Intake Form
3. Insurance Contract
4. Consent to treat a minor
5. Counselor Client agreement
   

A counselor will review this information with you at your first appointment and will answer any questions at that time.

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