Forms

Below you will find a list of forms available in either .pdf or Adobe eSign form that may be helpful to you as part of your services at Family Counseling Associates.  If you have any questions about these forms, please contact us.

• Notice of Privacy Practices
• Online Intake Form (Adobe eSign)

• Intake Form
• Health History Form - Dr. Judith Cecil, MD
• Health History Form - Doris May, Nurse Practitioner
• Online Consent for Release of Information (Adobe eSign)

• Consent for Release of Information
• MAP (Membership Assistance Program) Authorization Form
• American Association of Christian Counselors - Code of Ethics