Client Forms & Applications | Holistic Elevation

FORMS & APPLICATIONS

New Client / Returning Client Paperwork (link)

The client must have an appointment first before submitting the intake/re-intake paperwork. Please select the intake paperwork that reflects the client's age or contact our office for assistance.

Admission & Consent Forms

GENERAL Consent Form

Emergency Contact Release

Telehealth Consent Forms

ROI Medical Form

Transportation Wavier Form

Intake Questionnaire

MINOR Intake Questionnaire

ADULT Intake Questionnaire

Teen Intake Questionnaire

ADULT Intake Questionnaire

Release Authorization Form

ADULT Intake Questionnaire

Program Applications

Suicide Prevention Program

Registration Form

Application Form

Needs Assessment

Program Consent Forms

Peer2Peer Application Form

Adult Truama Camp Form

Minor School Forms

Student Registration Form

School Permision Form

Child Custody Form

General Documentation

Referral Form

Case Review Form

Case Conceptualization Form