Header image   
    Providing quality professional services
    to individuals, couples and families
line decor
   
line decor
 
 
 
 

 
 
Client Forms

Below are links to PDF versions of the documents needed to become a client of Lakeview Counseling. These documents are provided for our clients' convenience. You can view and print them with the free Adobe Acrobat Reader (link opens in a new browser window).

Adult Packet

All forms (10 pages)

Individual forms:

  1. What You Should Know About Counseling (2 pages)
  2. What You Should Know About Confidentiality
  3. Client Registration Form (Adult) (3 pages)
  4. Contact Form
  5. Authorization for Treatment and Billing Services
  6. Billing Information Form
  7. Credit Card Payment Instructions

Minor Packet (17 years and younger)

All forms (13 pages)

Individual forms:

  1. What You Should Know About Counseling (2 pages)
  2. What You Should Know About Confidentiality
  3. Client Registration Form (Minor) (4 pages)
  4. Problem Behavior Inventory
  5. Contact Form
  6. Custody Form
  7. Authorization for Treatment and Billing Services
  8. Billing Information Form
  9. Credit Card Payment Instructions
 
 
line decor
    Lakeview Counseling    1844 Oak Hollow Dr. Suite B    Traverse City, MI 49686    phone (231) 929-0300    fax (231) 933-6378   
line decor