Client Paperwork

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

New Client Intake Form

Financial Agreement

Credit Card Authorization Form

Notice of Privacy Practices

Privacy Notice Signature Page

Consent to Treat a Minor

Telehealth Consent Form

Electronic Communication Policy

Good Faith Estimate

Social Media Policy