Forms

If you would like to complete the paperwork beforehand, please click on the links below and either email it to help@qcfamilycounseling.com or bring it with you to the appointment.

If you have insurance, we ask that you call your insurance company before the appointment and ask:

• If a pre-authorization is required

• If you are meeting a deductible

• The number of visits you are allowed 

• If you have a copay

Adult Form (Age 18 and Older)
Download Your Adult Form

Child Form (Age 18 and Under)
Download Your Child Form