Telehealth Forms

If you are going to see a therapist remotely via video or phone, you will need to complete some documentation and return to us. Your therapist will likely send you the forms directly, but may also send you here to retrieve them.

Telehealth Forms

This program is provided by different counseling agencies who each have their own agency forms. Depending upon the provider, there may be some additional information they will send you to make sure you understand the risks and benefits of telehealth. After that, they will probably have you sign a consent for telehealth

New Family Tree Client Forms

Regardless of location here are the Family Tree documents to complete on your own:
Family Tree Client Packet – English
Family Tree Client Packet – Spanish

Once you have submitted those, your therapist will complete these with you:
Family Tree Therapist Packet – English
Family Tree Therapist Packet – Spanish

Submitting Completed Forms

All of these forms are designed for you to be able to complete and sign (NOTE: you must have the free Adobe Reader installed to complete the signature successfully) and return to your therapist electronically.

You also can print and sign them and:
1. scan them and then send to your therapist’s email, or
2. hand deliver them to our service location, or
3. use a delivery service (mail, fedex, etc.) to send

Questions? Contact your therapist