Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Consent to Treat Minor

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

 

Contact Today



134 WS Boundary, Suite J
Perrysburg, OH 43551

1655 Tiffin Ave., Findlay, Ohio 45840

Contact Dr. KJ

(419)-575-4969
drkj@movingforwardcounselingservices.com

Contact Angie

419-731-6121
angie@movingforwardcounselingservices.com

Contact Cathryn Parke

419-601-4437
cathryn@movingforwardcounselingservices.com

Contact Madeline Baker

419-482-8309

Got Questions?
Send a Message!