Forms

Thank You for Choosing Ammirati Counseling

To get started, please complete the forms below and bring them with you to your appointment.

If you are not able to complete these ahead of time, please arrive 15 minutes early to complete them. They will be located on a clipboard in our waiting room.

Read the Mandatory Disclosures and Insurance Information. The Insurance Information is especially important if you are using insurance or out-of-network benefits.

What to Bring to Your Initial Appointment

• Your Insurance Card
Photo ID (i.e. driver's license)

FORMS: Print & Sign

Individual Sessions
Print, Sign & Bring to Appointment


Forms
Couples Sessions
Print, Sign & Bring to Appointment


Forms

NOTICES: Please Read

Mandatory Disclosures & Insurance Information
Please Read Before Signing Forms


Forms