New Client Forms

Thank you for choosing Keystone Counseling!

Please fill out each of the following forms after you have scheduled your first appointment with us. If you are attending therapy as a couple, each form has a place for both of you to sign. The Self Assessment is the only form you will each need to fill out separately.

1.  New Client Information Form

2.  Fee Policy Statement

3.  Privacy Policy Statement

4.  Teletherapy Consent Form

5.  Credit Card Authorization

6.  Self Assessment  (each person should complete this form separately)

7.  Review the online online counseling setup page to prepare your device(s) for your session.