Linganore Counseling and Wellness LLC

Counseling and Mental Health

Call Today:

+1.3018652226

Patient Forms










In order to get the most out of your first session, make sure to complete and bring with you the first three  attached client forms:



Statement of Understanding: This form explains client/therapist confidentiality and limits of confidentiality. Signing also indicates you have read about our Fees and Insurance.


Patient History: Brief form to help understand the client's personal, employment, legal, medical and counseling background and history.


Patient Information Form: We need this information for contacting you, reminding you of your appointments as well as billing your insurance.


                                                 

  Additional Forms:


Agreement for Parents:Required agreement for divorced families seeking counseling for minor children.


Authorization for Release: Form giving consent for therapist to speak to people other than the client.


If you have any questions regarding the forms please contact us at 301-865-2226 x302