Getting Started

Tell us how we can help you.

Forms and Documents

For your convenience, the six required forms and documentation are posted here. Prior to your first appointment please download and complete the six required forms to the best of your ability. If you are unsure of how to answer, please leave the items blank or contact us for guidance.

Intake Forms

You will complete one of these forms:
For couples counseling: download
For individual counseling: download

Other Forms

You will complete ALL five of these forms:

Checklist of Symptoms: download
Informed Consent: download
HIPAA Privacy: download
Social Media Policy: download
Credit Card Authorization: download

Forms and Documents

After you have scheduled your appointment, these forms can be completed online. That is the preferred method. If you do not have a computer, we can schedule a time with you for your to come to GCS and use our Client Computer.

Intake Forms

Emergency Hotlines

Please call 911

Suicide Prevention Hotline

VOICE (Domestic Abuse Hotline)

Pennsylvania Department of Human Services

(Child Line)

Couples Counseling

Individual Counseling

Counseling Forms

Emergency Hotlines

Please call 911

Suicide Prevention Hotline

VOICE (Domestic Abuse Hotline)

Pennsylvania Department of Human Services

(Child Line)

Counseling Informed Consent

Counseling Notice of Privacy Practices

Counseling Consent for Telehealth Consultation

Counseling Practice Policies

Counseling HIPAA

Coaching Forms

Emergency Hotlines

Please call 911

Suicide Prevention Hotline

VOICE (Domestic Abuse Hotline)

Pennsylvania Department of Human Services

(Child Line)

Coaching Agreement

Coaching Guest Form

Coaching HIPAA

Coaching Privacy Practices

Coaching Telehealth Consent

Emergency Hotlines

Emergency Hotlines

Please call 911

Suicide Prevention Hotline

VOICE (Domestic Abuse Hotline)

Pennsylvania Department of Human Services

(Child Line)

Any Emergency please call 911

Suicide Prevention Hotline

VOICE (Domestic Abuse Hotline)

Pennsylvania Department of Human Services (Child Line)