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Adult Forms

Child Forms

LGBT Services

Additional Forms

Please click on each link below and print out the form. Fill in each form and bring it with you to your appointment.


Adult Intake

Informed Consent (adult)

Current Problems

Financial Information Agreement

Primary Care Physician

Privacy Practices A

Privacy Practices B

Use these forms as needed or indicated by AZ Family Counseling Providers or Office Staff members.  Please click on each link below and print out the form. Fill in each form.


Acknowledgement to Treat

Client Information Update

Records Release

Image courtesy of Tom Callahan

Patient Forms