Please complete and print this form to bring in with your child or adolescent to his or her appointment
Rachel Christian Counseling
Please complete and print this form and bring it with you to your office appointment
Please use this form when requesting that your health information be released to another provider or facility
For offices and providers wishing to refer a patient to Rachel. Please complete the form and email to firstname.lastname@example.org.
For all patients. Please print and sign these documents to bring with you to your appointment