Office Forms

Record Detail

If you need all or part of your counseling records, request via this form. Please allow 7 business days to process.

 Record Request Form

Insurance Updates

Complete this form if you are an existing client or if you are a new client who has been instructed to provide additional insurance information.

Insurance Update Form

New Client Form

If you need all or part of your counseling records, request via this form. Please allow 7 business days to process.

New Client Form

Release of Information

Complete this form if you would like us to share information about your counseling with another family member or provider.

Tides of Mind Release of Information

Filling Out a Form

Please note: These forms are in Portable Document Format (pdf) and require a pdf reader. If your computer does not have a pdf reader, you may download Adobe Reader X for free here.

Reader X download note: The download is preset to automatically include, for free, both the Google Chrome Internet Browser and the Google Toolbar for Internet Explorer.

These are optional and are NOT required to view and/or print Family Counseling Associates forms. If you do NOT want them included in your download, be sure to CLEAR the check box called “Yes, install Chrome as my default browser and Google Toolbar for Internet Explorer – optional.(32.11 MB)”.

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