Client Intake Forms

CLIENT INTAKE FORMS

Thank you for choosing The Maple Counseling Center (TMCC). You have just taken a very positive step by deciding to seek counseling.  

Fees for counseling are on a sliding scale, based on your ability to pay. We ask that you provide proof of financial need.

We invite you to learn more about TMCC. Feel free to ask your counselor about the many services available for you and your family.

 

To become a client please call our intake phone line and leave a message with your name and number. A counselor will call you back and direct you to the appropriate intake forms. 

 

Adult Intake Packet (Individual/ Couples)

Family/ Child or Adolescent Intake Packet

Group Intake Packet

Notice of Privacy Practices