Welcome to Heart and Soul Counseling!  Please print and bring your completed forms to our initial consultation meeting.

Forms

For clients under 18 years of age, to be filled out and signed by parent or guardian prior to initial consultation.

For clients 18 years old and older, to be filled out prior to initial consultation.

For all clients.  Important information concerning how your confidential information is used and protected.  To be signed by parent or guardian if client is under 18 years old.

For all clients.  To be completed by parent or guardian if client is under 18 years old.

For clients wishing to participate in Animal-Assisted Counseling (AAC).  To be completed by parent or legal guardian if client is under 18 years old.

For all clients interested In applying their insurance benefits.  We currently accept Optum, United HealthCare, and Traditional Medicaid.

For all clients.  To be completed by parent or guardian if client is under 18 years old.

Required before confidential materials may be shared

Additional Information for Clients and Potential Clients

Helpful Resources

Information on why play therapy is so important, from the Association For Play Therapy

Explanation of how research supports the possible benefits of play therapy; from The Association For Play Therapy

Information about the benefits of incorporating animals into counseling sessions; article from PsychCentral

Why free play is so important to the development of kids' minds and bodies

The potential damaging effects of screen time on still-developing brains.

Heart and Soul Counseling

(929) 352-7529

Updated August 25, 2019 by Heart and Soul Counseling, PLLC. Proudly created with Wix.com