Online Web Registration
Our vision is to rebuild families one life at a time through comprehensive, relational, mental health and addictions rehabilitative services.
To provide individual, family and group counseling integrated with Christian beliefs to those suffering with relational issues, mental illness, addictions or
co-occuring disorders and to assist those individuals in establishing connections and reconnection to their families, to their communities and to the business world.
Authorization to Release-Receive Information.pdf
209.2 KBNew Client Registration Forms 2014.pdf
0.6 MB CLIENT FORMS
** ALL forms are fully interactive in Adobe Reader so you may fill them out on your PC and bring them with you on your first appointment.**
PARENT INFORMED CONSENT FORM
CHILD/TEEN REGISTRATION FORM