Linganore Counseling and Wellness LLC

Counseling and Mental Health

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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