Paperwork for Adult Individual Clients


   Paperwork for Couples


Please print and complete the following intake paperwork prior our first appointment.  If for some reason you forget to complete or bring this paperwork, it is important you arrive 15-20 minutes before our scheduled appointment time to complete the paperwork in my office.  Having this completed will allow us to start our session on-time and focus on the reasons that brought you to counseling. 

Clear Life Counseling, LLC

Clear Life Counseling, LLC

   Paperwork for Adolescent Clients to be completed by Guardian AND Client


Call 860-414-4245, Text or Email Me

I will connect with you in 24 hrs or less!

Clear Life Counseling, LLC  

(860) 414-4245 Jackie@clearlifect.com

Schedule and Appointment

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