Intake Paperwork

for new clients scheduled with

Hannah Milford

Welcome to Happy Camper Counseling!

Once you have scheduled your first appointment, it is time to fill out the appropriate intake forms. These forms help the therapist learn more about you and for you to understand your rights as a client. New clients are required to sign the required forms before receiving counseling services.

Adults will sign for minors under 18. Parents and guardians must provide proof of custody and/or ability to make medical decisions for minor. Accepted documents may include custody agreement or divorce paperwork. This information must be presented before a minor may be seen.

Online Forms

New client forms are available below. Please have forms filled out in their entirety prior to your first appointment. Your answers will help in providing you the best possible care.

Informed Consent

Mandatory form
for all new clients.

Privacy Practices

Mandatory form
for all new clients.

HIPAA

Mandatory form
for all new clients.

Telehealth Consent

Mandatory form
for all new clients.

Child Custody

Mandatory form for all child
clients under 18 years-old.

Health Insurance

Optional form to utilize health insurance benefits.

Release of Info

Optional form that allows your
therapist to disclose your info.

Credit Card Auth

Optional form that allows your
therapist to auto bill you.

 If you have any questions please email us at, Intakes@happycampercounseling.com.