1- RCC Informed Consent
This form is filled out by all new clients.
2- RCC Insurance Demographics Form
This form provides us with your insurance information to be returned via email or fax and can be filled out online here.
3- Medical History Intake Form
This form is filled out before your first medication management appointment.
4- Release of Information Consent Form
This forms grants permission for us to share or receive information from another person regarding your case.
This form is for couples to fill out and submit before beginning counseling.
6- RCC Couples Satisfaction Checklist
This form is for couples to fill out and track progress with their therapist.
This form is for clients requesting their records. We require up to 30 days to process. Postage and any other fees are the client’s responsibility.