If you have an appointment scheduled, you may print and complete the intake forms below, to bring to your first appointment. This will eliminate the need to complete them at the time of your appointment.
Please bring your completed forms, your insurance card and any copay with you to your first appointment. Payment may be made in cash or check. Checks may be made payable to Outside the Lines Counseling, LLC.
Outside the Lines Counseling , LLC HIPPA Form
Outside the Lines Counseling, LLC HIPPA Signature Page
Outside the Lines Counseling, LLC Financial Responsibilities Form
Outside the Lines Counseling LLC, Release of Information Form
Outside the Lines Counseling
410-245-9722