Electronic Client Forms

Electronic Client Forms

Follow Our Easy, Step By Step Process:

  Note: We recommend that you download/save the forms so you can easily make changes, and then re-print them.

Electronic Client Forms

Electronic Client Forms

1. Locate

Click on the desired form; it will open in your browser.

2. Fill In

Fill in the appropriate form fields.

3. Print

Click the print button to print the form.

4. Sign

Sign the printed forms; bring them with you to your first appointment.

Adult Counseling Forms

  1. Cover Letter
  2. Consent for Services & Fee
  3. Authorization for Scheduling, Billing and Payment Purposes
  4. Cancellation Policy
  5. PF1000 Notice of Privacy Practices
  6. PF2000 Privacy Consent
  7. Adult Intake form
  8. Notification and coordination with Primary Care Physician-Psychiatrist
  9. Emergency Contact Authorization
  10. Consent for Self-Pay Fee Sessions

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Electronic Client Forms

Minor/Adolescent Forms​

  1. Cover Letter
  2. Counseling Minors
  3. Consent for Services & Fee
  4. Authorization for Scheduling, Billing and Payment Purposes
  5. Cancellation Policy
  6. PF1000 Notice of Privacy Practices
  7. PF2000 Privacy Consent
  8. Minor/Adolescent Intake Form
  9. Notification & Coordination with Primary Care Physician-Psychiatrist
  10. Notification & Coordination with Education Professionals
  11. Emergency Contact Authorization

Electronic Client Forms

Adult LENS Neurofeedback forms

  1. Adult Consent form
  2. Intake form
  3. CNS Questionnaire
  4. Sensitivity Questionnaire
  5. Photonic Stimulator Informed Consent
  6. Emergency Contact Authorization

Electronic Client Forms

Minor/Adolescent LENS Forms

  1. Minor/Adolescent Consent form
  2. Intake form
  3. CNS Questionnaire
  4. Sensitivity Questionnaire
  5. Photonic Stimulator Informed Consent
  6. Emergency Contact Authorization

Electronic Client Forms

Electronic Client Forms

Why These Forms Matter

The forms that white oak provides are more than just paperwork—they serve as the foundation for a successful therapeutic relationship. By completing them accurately and thoroughly, you enable us to:

  • Gain a better understanding of your needs and expectations.
  • Develop personalized treatment plans tailored to your goals.
  • Coordinate care effectively with other professionals involved in your well-being.
  • Ensure compliance with legal, ethical, and professional standards.

We are committed to respecting your time and making the onboarding process as smooth as possible. Our electronic forms are user-friendly, secure, and designed with your convenience in mind.

Electronic Client Forms
Electronic Client Forms

Electronic Client Forms

Helpful Tips for Completing Forms

  • Set Aside Time
    Make sure you have enough time to review and complete the forms without feeling rushed. This ensures accuracy and thoroughness.
  • Review Carefully
    Double-check your answers for accuracy. Providing complete and truthful information helps us better understand your needs.
  • Reach Out for Assistance
    If you have questions or need clarification while filling out the forms, our team is here to help. Contact us anytime for support.

Electronic Client Forms

Digital Form Submission

For added convenience, many of our forms can be completed and submitted digitally. Simply download, fill out, and email the completed forms to our office. This option ensures your information reaches us quickly and securely, streamlining the process before your appointment.

Customized Care Through Comprehensive Forms

At White Oak Counseling, every form plays a role in ensuring your care is as effective and personalized as possible. From gathering essential intake information to ensuring proper communication and documentation, our forms are designed to support your journey toward healing.

Ready to get started? Locate the appropriate forms and complete them today to begin your path to well-being with White Oak Counseling & Recovery.