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Forms

Ardent Counseling Center Forms

Prior to your session with any Ardent Counseling Center provider, you must go to the Client Registration page and complete the “Secure Intake Form” there.

The forms below are separated by content should you need to update your consent form in the future or should you need to share information from another provider at a future date.

[rescue_toggle title=”Release Of Information Form
Use this form if you want your therapist to be able to talk to anyone other than yourself, a doctor, partner, family member, etc. Most people should fill out this form ahead of time because very often we find that communication with others is vital to your case.”]
Authorization For Release Of Confidential Information

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[rescue_toggle title=”Additional Forms”]

Credit Card Payment Recurring Authorization Form

Secure Document Upload

EAP Registration Form

HIPAA

HIPAA Privacy Rule And Notice

Life Goals Worksheet

Patient Communication Form

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Please contact us if you have any trouble with the Ardent Counseling Center Forms by calling us on (888) 870-1775 or by filling out our Contact Form