Counseling and Evaluation Program Forms

Life Happens. We’re Here to Help.

Please review these forms and documents in advance of your appointment. If EFR’s Intake Specialist directed you to fill out any forms, please download and fill those out in advance of your appointment. As a reminder, you may click here to access the same forms on our patient portal

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Acknowledgement of Privacy Practices

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Client Rights and Responsibilities

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EFR Notice of Privacy Practices

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Release of Information

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Client Services Agreement

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Counseling and Evaluation Service Description

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Telehealth Description

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Zoom Meeting Instructions

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5th Judicial Release of Information

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OWI-321J Release

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EFR Release

Please review these forms and documents in advance of your appointment. If EFR’s Intake Specialist directed you to fill out any forms, please download and fill those out in advance of your appointment. As a reminder, you may click here to access the same forms on our patient portal

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Client Handbook

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Informed Consent

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Services Fee Agreement

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Release of Information

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Zoom Meeting Instructions

Maddox

Student Assistance Program (SAP) & Outpatient Counseling

Maddox*, an elementary-aged student, struggled with anger outbursts, physical aggression, and difficulties with problem-solving. After spending years off-and-on in therapy seeking treatment with various providers only to remark that “none seemed to want to listen,” Maddox’s parents sought SAP services through their district. 

Today, Maddox is completing his SAP sessions and moving towards outpatient counseling. He has reduced his anger outbursts and has learned skills to help him successfully navigate challenging days.

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