INSTRUCTIONS: Download form and open 'Read-Only' version. When completed, 'Save As' to your local hard drive. Connexus does not take responsibility for the confidentiality of electronic data.
Tab & Field (TF) Forms: These forms can be downloaded and completed electonically, but must be printed and signed.  If you do not have access to a printer, you may fill them out and email them to

After the initial consultation is complete, the intake forms must be filled out and signed prior to beginning sessions, with the exception of the Intake Questionaire. 

Intake Forms (Required)	Word TF	PDF
Client Face Sheet
Client Disclosure
Consent for Services
Fee Agreement - Individual Counseling
Fee Agreement - Couples/Family Counseling
HIPAA Privacy Statement
Intake Questionaire

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Resources & Worksheets

	MS Word	PDF
Therapeutic Relaiontship Contract (Couples Tx)
Grounding and Reflection