Therapy Forms

At Focused Counseling Services, I strive to make starting or continuing your therapy as smooth as possible. This page provides easy access to the forms you’ll need before your appointment. Completing these forms ahead of time helps your sessions start efficiently and ensures we can focus on your mental health goals. Please fill out each form completely. Each form will need to be completed other then the telehealth form and Christian worldview form unless these apply to your sessions.

Need Help?

If you have questions about any of the forms or need assistance completing them.

Call or Text: 417-501-5057
Email: john@focusedcounseling.org

Forms:

1. New Client Intake Form

For new clients, this form collects your personal information, contact details, and basic background to help your therapist understand your needs from the very first session.

2. Consent & Confidentiality Forms

This form explains your rights, confidentiality policies, and the limits of counseling confidentiality. It ensures you understand and agree to the counseling process.

3. Credit Card Payment Form

To streamline billing, this form gathers your payment information and preferred payment method.

4. Telehealth Agreement (if applicable)

If you’re using online counseling sessions, this form ensures you understand how telehealth works and agree to the process.

How to Submit Your Form

Email: You may email completed PDF forms to my secure email: john@focusedcounseling.org

In-Person: Bring your completed forms to your first appointment.