Forms

Welcome to Womencare

Please click on the links below to access the necessary forms for your first visit.  Please print, complete the forms, and bring them in with you to your first session.

We look forward to working with you.


Counseling Forms

Client Information Form (Download)

Intake Paperwork

HIPAA Notice

Debit/Credit Card Authorization Form (Download)

No Surprises Act Information

Good Faith Estimate


Additional Forms

1. Release of Information

2. Group Counseling Agreement

3. Professional Consultation Agreement