Northwest Counseling Associates

Forms

In order to ensure that your session time is used most effectively we recommend that you complete the relevant forms and bring them to your appointment. Click on the forms to open (Adobe pdf format).

• Client Intake Form
• Current Medication Form
• Release of Information Form
• Client HIPPA Form

Sex Therapy Forms

For clients seeking sex therapy, please complete the relevant forms and bring them to your appointment. Click on the forms to open.

• Client Sexual History Form
• Sexual Distress Scale
• Internet Sex Screening Test
• Sex Addictions Screening Test

General Mental Health Screening

For clients concerned with the presence of an anxiety disorder, depression, or bipolar disorder you may consider completing one or more of the following online screening instruments. It may be beneficial to print the results and bring them to your session.Click on the forms to open.

• Anxiety Screening
• Depression Screening
• Mania Screening