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Family Counseling Center
Access Hope
Wellness All Around
Victory4Families
First Responder’s Support
F.A.Q.’s
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Home
Family Counseling Center
Access Hope
Wellness All Around
Victory4Families
First Responder’s Support
F.A.Q.’s
Donate
Contact
Client Paperwork
Email Fillable Forms Here
Home
Family Counseling Center
FCC Services
Offices & Staff
Request Appointment
Client Paperwork
Donate
F.A.Q.’s
Contact
Home
Family Counseling Center
FCC Services
Offices & Staff
Request Appointment
Client Paperwork
Donate
F.A.Q.’s
Contact
The Forms Below Can Be Downloaded Or Filled Out Online And Emailed To
faithandhope@victory4families.org.
Disclaimer: All emailed forms
and their contents are confidential.
Welcome Packet
Download Form
New Client Intake Form
Fill out form
Download Form
Financial Agreement
Fill out form
Download Form
Credit Card Authorization Form
Fill out form
Download Form
Privacy Notice Signature Page
Download Form
Informed Consent to Treatment
Download Form
Consent to Treat a Minor
Download Form
Telehealth Consent Form
Fill out form
Download Form
Electronic Communication Policy
Download Form
Good Faith Estimate
Download Form
Social Media Policy
Download Form
Notice of Privacy Practices
Download Form