CrossRoads Counseling Associates Forms

-- General Forms --

General Application Form
Please print this off and bring it to your first session.

Release of Information Form
If you would like us to be able to communicate openly with others, please print this off and fill out.

Child Intake Form
If you are bringing a child to counseling, please print off and bring this form.

Application for Sliding Scale
If you are needing a financial adjustment, print off, fill out and bring this form to your first visit.