Client forms

Thank you for allowing me to go on this journey with you.

Please download and complete the forms below before your initial appointment. You can email the completed forms to parkercounselingservices@gmail.com.

Release of Information (pdf)

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Intake Packet. RV. 9.22.22 (pdf)

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Referral Form

Thank you for referring clients to me.

Please email the completed referral form to parkercounselingservices@gmail.com or fax to 1 (504) 336-3184.

Referral Form (pdf)

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